Wesley Hannah Shane, DO
NPI #1013544030 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1013544030
- Entity Type
- Individual
- Name
- Wesley Hannah Shane, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pediatrics
- Credential
- DO
- Enumeration Date
- Mar 27, 2020
- Last Updated
- Jul 10, 2023
Practice Location
- Address
- 100 MICHIGAN ST NE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-2560
- Phone
- (866) 989-7999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Pediatrics - Pediatric Critical Care Medicine — Pediatric Critical Care Medicine |
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