Madison Alyse Koon, PA-C
NPI #1598486326 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1598486326
- Entity Type
- Individual
- Name
- Madison Alyse Koon, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 9, 2022
- Last Updated
- Dec 19, 2022
Practice Location
- Address
- 1428 S LAPEER RD
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48360-1437
- Phone
- (248) 693-0543
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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