KENNETH F SHOCKLEY

GRAND RAPIDS, MI
NPI1801854039
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: MI  5101010606)
Enumeration Date2006-05-04
Last Update Date2017-10-17
Business Address
KENNETH F SHOCKLEY D.O.
4047 SALADIN DR SE
GRAND RAPIDS, MI 49546-6249
Phone number: 616-956-9577
Mailing Address
KENNETH F SHOCKLEY D.O.
4047 SALADIN DR SE
GRAND RAPIDS, MI 49546-6249
Phone number: 616-956-9577
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