Individual
MARLENE MARIE SHAW-GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
19900 HAGGERTY RD, SUITE 106, LIVONIA, MI 48152-1052
(734) 432-7870
(734) 432-7871
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005675
MI
Other
Enumeration date
11/09/2009
Last updated
09/28/2020
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