Individual
SHANE LELAND STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
26090 LANNYS RD, NOVI, MI 48375-1022
(228) 883-2741
Mailing address
26090 LANNYS RD, NOVI, MI 48375-1022
(248) 883-2741
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SS008515
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F35564
BCBSM
MI
Enumeration date
06/14/2006
Last updated
07/18/2025
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