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Marta Lundquist-Shaw

NPI 1235486077 · on the registry since 2012 · sole proprietor

Practice

Address
11439 Foley Rd
Fenton, MI 48430
Phone
(810) 208-0422

Registry record

Primary taxonomy
174N00000X
174N00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-08-10

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