MRS. Shannon Marie Crouse

NPI #1275087991 in Clinton Twp, Michigan

Provider Information

NPI Number: 1275087991
Entity Type: Individual
Name: MRS. Shannon Marie Crouse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Aug 10, 2016
Last Updated: Aug 10, 2016

Practice Location

Address: 39125 DRAKE ST
City: Clinton Twp
State: Michigan
ZIP Code: 48036-1591
Phone: (586) 909-3622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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