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Alisa Maria Winchester
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1669187647

Alisa Maria Winchester is a Student in an Organized Health Care Education/Training Program based in Germantown, MI. Alisa Maria Winchester practices in Southfield, MI. The NPI Number for Alisa Maria Winchester is 1669187647 and holds a License No. (Michigan).

The current practice location address for Alisa Maria Winchester is 17320 W 12 Mile Rd, Southfield, MI and can be reached out via phone at 248-727-3456 and via fax at 248-557-4697.

Location: 17320 W 12 Mile Rd, Southfield, MI, 20874-2685
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669187647
Provider Name
Alisa Maria Winchester
Credential
Provider Entity Type
Individual
Gender
Female
Address
17320 W 12 Mile Rd, Southfield, MI, 20874-2685
Phone Number
248-727-3456
Fax Number
248-557-4697
Provider Enumeration Date
01/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17320 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48076-2100
Phone Number
248-727-3456
Fax Number
248-557-4697
person
Provider Business Mailing Address Details
Address
17320 W 12 Mile Rd
City
Southfield
State
Michigan
Zip
48076-2100
Phone Number
248-727-3456
Fax Number
248-557-4697
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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