Search › Michigan › 101YA0400X
Shelby Qualls, CAC-1
NPI 1194847749 · on the registry since 2007
Practice
- Address
- 8809 John C Lodge
Detroit, MI 48224 - Phone
- (313) 887-6737
- Fax
- (313) 876-0532
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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