Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON WILD
Active Sole ProprietorSHANNON WILD is a Community/Behavioral Health healthcare provider located in ROYAL OAK, Michigan. NPI 1861750747 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · ROYAL OAK, MI
Registration Details
- NPI Number
- 1861750747
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2012 (14.338029547424 yrs)
- Last Updated
- Apr 27, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
1110 CATALPA DRROYAL OAK, MI, 480671125Browse MI providers · Browse ZIP 48067
- Phone
- 2489710383
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in ROYAL OAK, MI
| Name | Credential | NPI |
|---|---|---|
| RUTU PALLAGATTIMATH | — | 1710786769 |
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.