Individual
JOHN CHANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22811 GREATER MACK AVE STE 109, SAINT CLAIR SHORES, MI 48080-2053
(586) 279-3610
Mailing address
10822 SPARKLING WATERS CT, SOUTH LYON, MI 48178-9494
(248) 756-2859
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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