Individual
SHANNON STAR NEUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1387
Mailing address
45830 LOOKOUT DR, MACOMB, MI 48044-6236
(586) 350-8626
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704205588
MI
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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