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Marquisa Shannon, B.A,M.B.A
NPI 1568615888 · on the registry since 2008
Practice
- Address
- 4875 Coplin St
Detroit, MI 48215 - Phone
- (313) 822-1135
- Fax
- (313) 822-1157
- Organisation at this address
- Positive Images
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- Other Technician
247200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-10-30
- Status
- Not present in the most recent federal file
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