Shana Crouch

NPI #1134677271 in Grass Lake, Michigan

Provider Information

NPI Number: 1134677271
Entity Type: Individual
Name: Shana Crouch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 19, 2016
Last Updated: Sep 19, 2016

Practice Location

Address: 1735 WOLF LAKE RD
City: Grass Lake
State: Michigan
ZIP Code: 49240-9420
Phone: (517) 612-8194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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