Individual
DR. SHANNON RENEE TRENTA KOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
6588 SECOR RD, LAMBERTVILLE, MI 48144-9431
(734) 856-6411
Mailing address
8737 TANGLEWOOD RD, TEMPERANCE, MI 48182-9253
(734) 847-6089
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009082
MI
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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