Individual provider · Type 1 NPI

Shannon Sturgeon De la Via, DO

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1619663788 Active

Practice location

4201 St. Antoine, UHC-9C
Detroit, MI 48201

Call (313) 745-5147 Map

Mailing address

17230 Yellow Rose Way
Parker, CO 80134-8991

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619663788

Shannon Sturgeon De la Via, DO's National Provider Identifier is 1619663788, issued on Apr 12, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Apr 12, 2023.