Individual
SHANNON KORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3200 S CENTER HWY, SUTTONS BAY, MI 49682-9503
(231) 590-3437
Mailing address
3200 S CENTER HWY, SUTTONS BAY, MI 49682-9503
(231) 590-3437
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704292194
MI
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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