Individual
SHAUN MICHAEL OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5524 CHICKASAW TRL, FREDERIC, MI 49733-9517
(989) 889-0748
Mailing address
PO BOX 230, FREDERIC, MI 49733-0230
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
09/06/2023
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