LANE MICHAEL SHISH

MINNEAPOLIS, MN
NPI1235718859
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-02
Last Update Date2021-04-02
Business Address
LANE MICHAEL SHISH
420 DELAWARE STREET SE, MMC 394
MINNEAPOLIS, MN 55455
Phone number: 612-625-8364
Mailing Address
LANE MICHAEL SHISH
420 DELAWARE STREET SE, MMC 394
MINNEAPOLIS, MN 55455
Phone number: 612-625-8364
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