Individual
MADELINE SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6621 W MAPLE RD # 200, WEST BLOOMFIELD, MI 48322-3004
(248) 489-5950
Mailing address
6565 MAPLE LAKES CT, WEST BLOOMFIELD, MI 48322-3059
(616) 432-1772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901603035
MI
Other
Enumeration date
05/22/2026
Last updated
05/22/2026
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