WESLEY HANNAH SHANE

GRAND RAPIDS, MI
NPI1013544030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MI  5101027303)
Additional Taxonomies2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: MI  5101027303)
Enumeration Date2020-03-27
Last Update Date2023-07-10
Business Address
WESLEY HANNAH SHANE DO
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 866-989-7999
Mailing Address
WESLEY HANNAH SHANE DO
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 866-989-7999