Individual
REENE SHALLAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1961 S TELEGRAPH RD, BLOOMFIELD HILLS, MI 48302-0246
(248) 319-6190
(248) 607-6362
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704259539
MI
Other
Enumeration date
12/14/2022
Last updated
06/05/2025
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