Individual
GREGORY SHONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
18526 LONDON DR, MACOMB, MI 48042-6216
(586) 615-5662
Mailing address
18526 LONDON DR, MACOMB, MI 48042-6216
(586) 615-5662
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704191620
MI
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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