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Individual

MR. SHANNON J ZIRIADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
19135 ALLEN RD STE 100, BROWNSTOWN TWP, MI 48183-6813
(734) 486-4700
Mailing address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704309397
MI
363LF0000X
Family Nurse Practitioner
Primary
4704309397
MI

Other

Enumeration date
07/22/2020
Last updated
07/30/2020
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