Individual
CORNELIUS JAMES SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 STAMFORD RD, YPSILANTI, MI 48198-3240
(734) 340-7856
Mailing address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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