Individual
MARYANN R SHAFOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10195 ABERDEEN DR, GRAND BLANC, MI 48439-9574
(810) 278-6029
Mailing address
10195 ABERDEEN DR, GRAND BLANC, MI 48439-9574
(810) 278-6029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4704256695
MI
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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