Individual
SHANNON GINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(586) 627-0024
Mailing address
175 N GROESBECK HWY, MOUNT CLEMENS, MI 48043-1562
(586) 627-0024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704284704
MI
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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