Provider Demographics
NPI:1679794697
Name:ALAWA, VIORICA ELENA (DO)
Entity type:Individual
Prefix:
First Name:VIORICA
Middle Name:ELENA
Last Name:ALAWA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:VIORICA
Other - Middle Name:ELENA
Other - Last Name:SCHMITTLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 456
Mailing Address - Street 2:
Mailing Address - City:OWOSSO
Mailing Address - State:MI
Mailing Address - Zip Code:48867-0456
Mailing Address - Country:US
Mailing Address - Phone:989-723-2299
Mailing Address - Fax:989-729-9109
Practice Address - Street 1:503 E MAIN ST
Practice Address - Street 2:
Practice Address - City:OWOSSO
Practice Address - State:MI
Practice Address - Zip Code:48867-3140
Practice Address - Country:US
Practice Address - Phone:989-723-2299
Practice Address - Fax:989-729-9109
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2015-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101016747207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1679794697Medicaid
MI1679794697Medicaid