Individual
SHANNON R COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2198 US 31 S, MANISTEE, MI 49660-9618
(800) 398-2013
(231) 723-1504
Mailing address
310 GLOCHESKI DR, MANISTEE, MI 49660-2639
(800) 398-2013
(231) 723-1504
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704317473
MI
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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