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Individual

JENNIFER A SHOCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
115 BRIDGE ST, ELK RAPIDS, MI 49629-5110
(231) 264-0399
(231) 264-0212
Mailing address
PO BOX 888, ELK RAPIDS, MI 49629-0888
(231) 264-0399
(231) 264-0212

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301074526
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4415237
MI
Enumeration date
10/27/2005
Last updated
02/25/2016
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