Individual
SHINI RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
705 S MAIN ST, SUITE 101, PLYMOUTH, MI 48170-2089
(734) 451-0800
Mailing address
705 S MAIN ST, PLYMOUTH, MI 48170-2089
(734) 451-0800
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000591
MI
Other
Enumeration date
10/18/2011
Last updated
09/27/2014
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