Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON ANTISHIN, DO
ActiveSHANNON ANTISHIN, DO is a Student (Health Education/Training) healthcare provider located in DETROIT, Michigan. NPI 1124714688 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · DETROIT, MI
Registration Details
- NPI Number
- 1124714688
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2023 (3.311640930433 yrs)
- Last Updated
- Jun 7, 2023
Practice Information
- Address
-
2799 W GRAND BLVDDETROIT, MI, 482022608Browse MI providers · Browse ZIP 48202
- Phone
- 3139161601
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY E. DORNAN | MACOM, LAC | 1275587917 |
| DR. RAMI BOUTROS IBRAHIM | PHARMD, DO | 1477651289 |
| LESLIE DANLEY | M.D. | 1881746980 |
| SOOK JA RHIM | M.D. | 1427189240 |
| DR. NISCHAL KUMAR PATNAIK GANDRETI | M.D. | 1073739132 |
| MS. VIET HUONG VU | D.O. | 1518162510 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.