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Individual

ANDREA SHULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP CNM

Contact information

Practice address
12988 GREENWOOD RD, LACHINE, MI 49753-9663
(989) 464-0166
Mailing address
12988 GREENWOOD RD, LACHINE, MI 49753-9663
(989) 464-0166

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704104693
MI

Other

Enumeration date
01/30/2007
Last updated
03/27/2009
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