Individual
DR. RANDY JOE SHALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTIC
Contact information
Practice address
24820 MICHIGAN AVE, DEARBORN, MI 48124-1713
(313) 277-3766
Mailing address
24820 MICHIGAN AVE, DEARBORN, MI 48124-1713
(313) 277-3766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
MI
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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