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1346401601
SHANNON KAY KUSIAK
YPSILANTI, MI
NPI
1346401601
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301092619)
Enumeration Date
2008-06-19
Last Update Date
2018-01-16
Business Address
Dr. SHANNON KAY KUSIAK MD
4940 W CLARK RD STE 100
YPSILANTI, MI 48197-0860
Phone number: 734-971-1188
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Mailing Address
Dr. SHANNON KAY KUSIAK MD
24 FRANK LLOYD WRIGHT DR LBBY J2000
ANN ARBOR, MI 48105-9484
Phone number:
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