IndividualActive
Alissa Anastasio, DO
NPI 1063104834 · Student in an Organized Health Care Education/Training Program · Canton, MI
Provider details
- NPI number
- 1063104834
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 5151016065 (MI)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 5151016065 (MI)
Student, Health Care
Practice location
1051 N Canton Center Rd
Canton, MI 48187-5097
Phone: (734) 844-5400
Approximate (ZIP-level) locationGet directions
Mailing address
1522 Simpson Rd East
Ann Arbor, MI 48109
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.