Individual
STEPHANIE MARIE SHIMANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
(313) 580-3247
Mailing address
3846 LAKESHORE DR, NEWPORT, MI 48166-9662
(313) 580-3247
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704223793
MI
Other
Enumeration date
08/17/2021
Last updated
06/27/2022
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