Individual
SHAWN GAUVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
18128 CEDAR ISLAND BLVD, BROWNSTOWN, MI 48174-9582
(313) 549-3570
Mailing address
18128 CEDAR ISLAND BLVD, BROWNSTOWN, MI 48174-9582
(313) 549-3570
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704212742
MI
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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