Individual
SHANNON MARIE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 225-3925
(906) 228-0169
Mailing address
1414 W FAIR AVE STE 226, MARQUETTE, MI 49855-5409
(906) 449-1240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704299321
MI
Other
Enumeration date
08/31/2018
Last updated
07/27/2022
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