Individual
SHANNON LORI MAROHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 N MEADE ST # 240, APPLETON, WI 54911-3454
(920) 731-8131
Mailing address
1314 SCHEURING RD APT 8, DE PERE, WI 54115-3888
(920) 338-1448
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
10/29/2018
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