Provider Demographics
NPI:1629633359
Name:ROWLISON, ALYSSA E (PA-C)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:E
Last Name:ROWLISON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:ZARSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1924 WHITE PINE WAY
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-1217
Mailing Address - Country:US
Mailing Address - Phone:586-255-1254
Mailing Address - Fax:
Practice Address - Street 1:928 E 10 MILE RD
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1043
Practice Address - Country:US
Practice Address - Phone:248-268-4296
Practice Address - Fax:888-850-3877
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601009422363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant