Shannon Starks

NPI #1538517545 in Inkster, Michigan

Provider Information

NPI Number: 1538517545
Entity Type: Individual
Name: Shannon Starks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 31, 2016
Last Updated: May 31, 2016

Practice Location

Address: 187 SHADOWLAWN ST
City: Inkster
State: Michigan
ZIP Code: 48141-1316
Phone: (313) 408-3136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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