Individual
MR. JAMES ETIENNE SHOTWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.PED
Contact information
Practice address
103 W MICHIGAN AVE, JACKSON, MI 49201-1303
(517) 783-1258
(517) 783-6472
Mailing address
103 W MICHIGAN AVE, JACKSON, MI 49201-1303
(517) 783-1258
(517) 783-6472
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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