Kara Lynn Shall

NPI #1063166320 in Grosse Pointe, Michigan

Provider Information

NPI Number: 1063166320
Entity Type: Individual
Name: Kara Lynn Shall
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 7, 2022
Last Updated: Feb 7, 2022

Practice Location

Address: 656 LINCOLN RD
City: Grosse Pointe
State: Michigan
ZIP Code: 48230-1220
Phone: (313) 330-0795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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