MR. James Etienne Shotwell JR., C.PED

NPI #1003938127 in Jackson, Michigan

Provider Information

NPI Number: 1003938127
Entity Type: Individual
Name: MR. James Etienne Shotwell JR., C.PED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: C.PED
Enumeration Date: Apr 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 103 W MICHIGAN AVE
City: Jackson
State: Michigan
ZIP Code: 49201-1303
Phone: (517) 783-1258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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