SHANE DAVIS FORD

ALPENA, MI
NPI1952623985
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601005707)
Enumeration Date2010-02-17
Last Update Date2010-08-29
Business Address
-- SHANE DAVIS FORD PA
1501 W CHISHOLM ST
ALPENA, MI 49707-1401
Phone number: 989-657-9348
Mailing Address
-- SHANE DAVIS FORD PA
7995 US HIGHWAY 23 N
ALPENA, MI 49707-8953
Phone number: 989-657-9348
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