Individual
SHANNON R MCINTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
19423 1 MILE RD, MORLEY, MI 49336-9759
(616) 295-1128
Mailing address
19423 1 MILE RD, MORLEY, MI 49336-9759
(616) 295-1128
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
08/15/2008
Last updated
08/28/2019
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