ALISSA SOUTHWAY

MACOMB, MI
NPI1396190328
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704284597)
Enumeration Date2016-04-27
Last Update Date2022-07-25
Business Address
ALISSA SOUTHWAY FNP-C
46600 ROMEO PLANK RD SUITE #4
MACOMB, MI 48044-5741
Phone number: 586-228-5437
Mailing Address
ALISSA SOUTHWAY FNP-C
45726 PENTWATER DR
MACOMB, MI 48044-4237
Phone number: 586-382-5711
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