Individual
MRS. SHANNON MARIE CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39125 DRAKE ST, CLINTON TWP, MI 48036-1591
(586) 909-3622
Mailing address
39125 DRAKE ST, CLINTON TWP, MI 48036-1591
(586) 909-3622
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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