Individual
SUSAN SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17150 INKSTER RD, REDFORD, MI 48240-2328
(313) 532-3118
(313) 532-3124
Mailing address
173 E WOODLAND ST, #1, FERNDALE, MI 48220-1473
(248) 683-7374
(313) 532-3124
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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