Individual provider · Type 1 NPI

Alyssa Nicole Fairservice, MD

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1053929620 Active

Practice location

2400 W Villard Ave
Milwaukee, WI 53209-4901

Call (414) 527-8191 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053929620

Alyssa Nicole Fairservice, MD's National Provider Identifier is 1053929620, issued on Jul 20, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 20, 2020.