Provider Demographics
NPI:1649511536
Name:GAPPY, ALYSSA CRYSTAL (DO)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:CRYSTAL
Last Name:GAPPY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ALYSSA
Other - Middle Name:CRYSTAL
Other - Last Name:YOUSIF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2333 BIDDLE AVE
Mailing Address - Street 2:
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-4668
Mailing Address - Country:US
Mailing Address - Phone:734-287-9029
Mailing Address - Fax:734-246-8795
Practice Address - Street 1:2333 BIDDLE AVE
Practice Address - Street 2:
Practice Address - City:WYANDOTTE
Practice Address - State:MI
Practice Address - Zip Code:48192
Practice Address - Country:US
Practice Address - Phone:734-287-9029
Practice Address - Fax:734-246-8795
Is Sole Proprietor?:No
Enumeration Date:2013-03-03
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101020325207P00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine