Individual
MR. PAUL GERARD SHANKIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCAR
Contact information
Practice address
28303 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3040
(248) 658-1116
(248) 658-1120
Mailing address
28303 DEQUINDRE RD, MADISON HEIGHTS, MI 48071-3040
(248) 658-1116
(248) 658-1120
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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