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Terell Shanks
NPI 1871468009 · on the registry since 2025 · sole proprietor
Practice
- Address
- 12880 Dolphin St Apt 1
Detroit, MI 48223 - Phone
- (248) 915-4513
Registry record
- Primary taxonomy
- 372600000X
372600000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-07
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