SHANNON WILD

Community/Behavioral Health

Active Individual
NPI: 1861750747

Practice Address

1110 CATALPA DR
Royal Oak, MI 48067

Phone: (248) 971-0383

Specialties

Specialty Code Primary License
Community/Behavioral Health 251S00000X Yes -

Frequently Asked Questions

NPI 1861750747 is the National Provider Identifier for SHANNON WILD, a Community/Behavioral Health provider located in Royal Oak, MI. This NPI was enumerated on April 27, 2012.
SHANNON WILD practices at 1110 CATALPA DR, Royal Oak, MI 48067.

Quick Facts

NPI
1861750747
Type
Individual
Enumerated
Apr 27, 2012
Last Updated
Apr 27, 2012

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