Shannon Wasmund in Clinton Township - Medical

Shannon Wasmund - NPI 1154371409

Shannon Wasmund is a Medical in Clinton Township, Michigan. Shannon Wasmund practices all healthcare services and medical treatments related to Medical. The NPI Number for Shannon Wasmund is 1154371409. The last update date is 2021-03-10.

Shannon Wasmund's current location address is 15855 19 Mile Rd, Clinton Township, Michigan. You can contact this provider via phone number 5862635446. The mailing address for Shannon Wasmund is 15855 19 Mile Rd, Clinton Township, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Shannon Wasmund
Address 15855 19 Mile Rd, Clinton Township, Michigan
Phone Number 5862635446
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1154371409
Provider Enumeration Date 2006-05-10
Last Updated Date 2021-03-10

Provider Mailing Address Detail

Address 15855 19 Mile Rd
City Clinton Township
State Michigan (MI)
Post Code 480383504
Phone Number 5862635446
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5601004431
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Shannon Wasmund

What is the unique 10-digit identifier code assigned to Shannon Wasmund by the Centers for Medicare & Medicaid Services?

The Shannon Wasmund has been issued the NPI (National Provider Identifier) 1154371409 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Shannon Wasmund's physical address?

The Shannon Wasmund is physically located at 15855 19 Mile Rd, in the city of Clinton Township, MI, with the postal code 480383504.

What is the area of specialization for Shannon Wasmund, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Shannon Wasmund is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did Shannon Wasmund receive its 1154371409 assignment from the Centers for Medicare & Medicaid Services?

The Shannon Wasmund was assigned its 1154371409 on 2006-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Shannon Wasmund's details last updated?

The information pertaining to the Shannon Wasmund, including its address, specialty, and other details, was most recently updated on 2021-03-10.

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