SearchMichigan1041C0700X

Shaniqua Gardner

NPI 1750804035 · on the registry since 2017 · sole proprietor

Practice

Address
2925 Russell
Detroit, MI 48207
Phone
(313) 396-5300
Clinicians at this address
7

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-07-19

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