Individual
MS. BARBARA KINGSLEY SHANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24250 PARKE LN, GROSSE ILE, MI 48138-1704
(734) 250-4206
Mailing address
24250 PARKE LN, GROSSE ILE, MI 48138-1704
(734) 250-4206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005274
MI
Other
Enumeration date
06/15/2008
Last updated
06/15/2008
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