Search › Michigan › 311ZA0620X
Releicia Shields
NPI 1508285750 · on the registry since 2014 · sole proprietor
Practice
- Address
- 27069 Pinewood Dr Apt 103
Wixom, MI 48393 - Phone
- (248) 939-2725
Registry record
- Primary taxonomy
- 311ZA0620X
311ZA0620X
- Also registered as
- 311ZA0620X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-15
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