Individual
SHANE DAVID MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3355 EAGLE PARK DR NE STE 108, GRAND RAPIDS, MI 49525-7004
(707) 342-7333
Mailing address
1025 ARIANNA ST NW, GRAND RAPIDS, MI 49504-3050
(707) 342-7333
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5401000225
MI
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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