Individual
MRS. MARY F SHAMOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, RN
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2241
Mailing address
1 FORD PL, DETROIT, MI 48202-3450
(248) 462-2131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704285532
MI
Other
Enumeration date
09/12/2016
Last updated
10/31/2025
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