SHANNON ANTISHIN

DETROIT, MI
NPI1124714688
Former NameSHANNON HOOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-17
Last Update Date2023-06-07
Business Address
SHANNON ANTISHIN DO
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number: 313-916-1601
Mailing Address
SHANNON ANTISHIN DO
2799 W GRAND BLVD
DETROIT, MI 48202-2608
Phone number:
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