Individual
DR. SHANNON CRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5500 AUTO CLUB DR, DEARBORN, MI 48126-2779
(313) 562-8000
Mailing address
5500 AUTO CLUB DR, DEARBORN, MI 48126-2779
(313) 562-8000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004992
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821542044
—
NC
Enumeration date
08/04/2016
Last updated
02/07/2018
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