BRANDY LYNNE SHATTUCK

LANSING, MI
NPI1851659064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZF0201X Pathology, Forensic Pathology
(Licence: MI  4301097773)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MI  4301097773)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MO  2012019898)
Enumeration Date2012-04-25
Last Update Date2013-07-02
Business Address
-- BRANDY LYNNE SHATTUCK M. D.
1322 E MICHIGAN AVE
LANSING, MI 48912-2199
Phone number: 517-364-3963
Mailing Address
-- BRANDY LYNNE SHATTUCK M. D.
4000 MOUNTAIN GLADE DR APARTMENT 4
HOLT, MI 48842-7738
Phone number: 518-542-1097