Shanan Thode
NPI #1104317544 in Lake Orion, Michigan
Provider Information
- NPI Number
- 1104317544
- Entity Type
- Individual
- Name
- Shanan Thode
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- May 22, 2018
- Last Updated
- May 22, 2018
Practice Location
- Address
- 630 GRAMPIAN AVE
- City
- Lake Orion
- State
- Michigan
- ZIP Code
- 48362-3330
- Phone
- (248) 613-7455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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