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Shannon Mixon
NPI 1548883150 · on the registry since 2020 · sole proprietor
Practice
- Address
- 100 River Place Dr Ste 250
Detroit, MI 48207 - Phone
- (313) 871-2337
- Clinicians at this address
- 45
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Female
- Record last updated
- 2020-05-19
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