IndividualActive
Alexis Izumi, P.A.
NPI 1831401181 · Medical Physician Assistant · Watervliet, MI
Provider details
- NPI number
- 1831401181
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 5601007177 (MI)
Mailing address
400 Medical Park Dr
Watervliet, MI 49098-9225
Registry dates
- Enumerated
- 2010-07-01
- Last updated
- 2023-11-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.