SHANNON MCCALLUM

DETROIT, MI
NPI1649339342
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner Primary Care
(Licence: MI  4704131498)
Enumeration Date2006-12-08
Last Update Date2007-07-08
Business Address
SHANNON MCCALLUM N.P.
22101 MOROSS RD
DETROIT, MI 48236-2148
Phone number: 313-343-8777
Mailing Address
SHANNON MCCALLUM N.P.
21532 SABRINA DR
MACOMB, MI 48044-1321
Phone number: 586-949-0102