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Individual

KATRIEN SHEFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
4819 STELLA DR, FENTON, MI 48430-4905
(810) 588-7264

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0040675701
MI
01
6401114001
COFINITY
MI
Enumeration date
11/26/2016
Last updated
11/26/2016
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