Healthcare Provider Details

I. General information

NPI: 1750481347
Provider Name (Legal Business Name): DEBRA A. ALSPECTOR, MD FAMILY PRACTICE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 LITTLE LAKE DR SUITE 10
ANN ARBOR MI
48103-6218
US

IV. Provider business mailing address

PO BOX 10
MASON MI
48854-0010
US

V. Phone/Fax

Practice location:
  • Phone: 734-418-2714
  • Fax:
Mailing address:
  • Phone: 517-676-9788
  • Fax: 517-676-3438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateMI

VIII. Authorized Official

Name: DEBRA A ALSPECTOR
Title or Position: OWNER
Credential: MD
Phone: 734-418-2714