Individual
MADISON SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 TITTABAWASSEE RD, SAGINAW, MI 48604-9453
(989) 249-6010
Mailing address
3360 TITTABAWASSEE RD, SAGINAW, MI 48604-9453
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302412201
MI
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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