Individual
CARLOS SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7445 ALLEN RD STE 250, ALLEN PARK, MI 48101-1959
(313) 386-5500
Mailing address
539 MAYFLOWER AVE, LINCOLN PARK, MI 48146-3039
(313) 516-1512
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704247721
MI
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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