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Shane Bliss
NPI 1174094791 · on the registry since 2018
Practice
- Address
- 1070 W Houghton Lake Dr
Prudenville, MI 48651 - Phone
- (989) 422-0279
- Clinicians at this address
- 140
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan