Individual
DR. BRIAN SHIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021331
MI
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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