Most Relevant Information
Provider Data
| NPI Number: | 1003277302 |
| Provider Name: | SHANNON BROCHEY |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/14/2016 |
| Last Updated: | 04/04/2016 |
Provider Practice Location
677 E MAIN ST
CENTREVILLE
MI
490328524
Practice Location Phone/Fax
| Phone: | 2694671001 |
| Fax: |
Provider Mailing Location
112 N MAPLE ST
STURGIS
MI
490911423
Provider Mailing Phone/Fax
| Phone: | 2694671001 |
| Fax: |