Shannon Antishin
ActiveMichigan license 5151016063
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5151016063
- Status
- Active
- First issued
- April 19, 2023
- Expires
- June 30, 2027
- License holder
- Shannon Antishin
- Entity type
- Individual
Classifications
- Osteopathic Physician Ed Ltd Physicians & Surgeons
Contact
Henry Ford Hospital
GME Office 2799 W. Grand Blvd
Detroit, MI 48202
GME Office 2799 W. Grand Blvd
Detroit, MI 48202
Wayne County