Individual
KORREY C SHOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2135 BRENNER ST, SAGINAW, MI 48602-3628
(989) 791-2100
Mailing address
2135 BRENNER ST, SAGINAW, MI 48602-3628
(989) 791-2100
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501006929
MI
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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