SHAD M HINES

WARREN, MI
NPI1790487858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-21
Last Update Date2024-06-30
Business Address
SHAD M HINES DO
11900 E 12 MILE RD STE 205
WARREN, MI 48093-3499
Phone number: 586-582-7034
Mailing Address
SHAD M HINES DO
10914 E 23RD AVE
SPOKANE VALLEY, WA 99206-5636
Phone number: