Healthcare Provider Details

I. General information

NPI: 1033996483
Provider Name (Legal Business Name): ALISON GUZZARDO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 S LINDEN RD STE 3A
FLINT MI
48532-3459
US

IV. Provider business mailing address

26325 PRINCETON ST
SAINT CLAIR SHORES MI
48081-3816
US

V. Phone/Fax

Practice location:
  • Phone: 810-672-1946
  • Fax:
Mailing address:
  • Phone: 734-751-7836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601011916
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: