Shawn Denee Miracle in Westland - Clinical
Shawn Denee Miracle - NPI 1215121694
Shawn Denee Miracle is a Clinical in Westland, Michigan. Shawn Denee Miracle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shawn Denee Miracle is 1215121694. The last update date is 2007-08-29.
Shawn Denee Miracle's current location address is 33800 Grand Traverse St, Westland, Michigan. You can contact this provider via phone number 7347282423 and fax number 7347282183. The mailing address for Shawn Denee Miracle is 33800 Grand Traverse St, Westland, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Denee Miracle |
|---|---|
| Address | 33800 Grand Traverse St, Westland, Michigan |
| Phone Number | 7347282423 |
| Fax Number | 7347282183 |
| Sole Proprietor | N |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1215121694 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 33800 Grand Traverse St |
|---|---|
| City | Westland |
| State | Michigan (MI) |
| Post Code | 481864675 |
| Phone Number | 7347282423 |
| Fax Number | 7347282183 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6801080343 |
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What is the Shawn Denee Miracle's unique identification number?
The Shawn Denee Miracle has been assigned the NPI (National Provider Identifier) Number 1215121694 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Shawn Denee Miracle?
The Shawn Denee Miracle is situated at 33800 Grand Traverse St, in the city of Westland, state of MI, with the zip code 481864675.
What is the area of specialization for Shawn Denee Miracle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shawn Denee Miracle is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Shawn Denee Miracle receive the assignment of its 1215121694 from the Centers for Medicare & Medicaid Services?
The Shawn Denee Miracle was issued its 1215121694 by the Centers for Medicare & Medicaid Services on 2007-08-29.
As of what date were the Shawn Denee Miracle's details last updated?
The information pertaining to the Shawn Denee Miracle, including its address, specialty, and other details, was most recently updated on 2007-08-29.
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