Individual
MELISSA SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENESYS PKWY STE 3512, GRAND BLANC, MI 48439-8065
(801) 606-7550
Mailing address
9519 PERE MARQUETTE DR, GRAND BLANC, MI 48439-8316
(810) 471-8807
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704255738
MI
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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