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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALISA HAYGOOD

Active Sole Proprietor

ALISA HAYGOOD is a 1744R1103X healthcare provider located in DETROIT, Michigan. NPI 1639821101 is currently active in the NPPES registry. Verify at CMS.

1744R1103X · DETROIT, MI

Registration Details

NPI Number
1639821101
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2022 (4.5877068611607 yrs)
Last Updated
Jan 25, 2022
Sole Proprietor
Yes

Practice Information

Address
14614 KERCHEVAL ST
DETROIT, MI, 482152814
Browse MI providers · Browse ZIP 48215
Phone
3133084212
Fax
3138221309
Primary Specialty
1744R1103X
1744R1103X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.