SearchMichigan374J00000X

Shunttina Edge

NPI 1043165194 · on the registry since 2026 · sole proprietor

Practice

Address
947 Worden St Se
Grand Rapids, MI 49507
Phone
(616) 581-8533

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan