Individual
MR. ROBIN RAY SHOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-BC
Contact information
Practice address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 775-1366
Mailing address
520 COBB ST, CADILLAC, MI 49601-2588
(231) 775-6521
(231) 775-1366
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704184595
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704184595
MI
363LF0000X
Family Nurse Practitioner
71002233A
IN
Other
Enumeration date
10/19/2006
Last updated
10/19/2021
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