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Individual

CAROL A SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
4550 INVESTMENT DR, SUITE 100, TROY, MI 48098-6363
(248) 265-4611
Mailing address
30200 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4502
(248) 258-5058

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704140166
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4708032
MI
Enumeration date
01/31/2007
Last updated
07/08/2007
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