Individual
DR. ARIANA LYNNE SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16815 PATTON ST, DETROIT, MI 48219-3908
(313) 608-0355
Mailing address
16815 PATTON ST, DETROIT, MI 48219-3908
(313) 608-0355
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301507735
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2019
Last updated
11/14/2022
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