Individual
SHAWNA SUSANNE CUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-0543
(248) 693-3683
Mailing address
1428 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 693-0543
(248) 693-3683
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704293145
MI
Other
Enumeration date
09/05/2018
Last updated
03/04/2020
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