Provider Demographics
NPI:1942974837
Name:POHLMAN, SHAELYNNE M (CCP)
Entity Type:Individual
Prefix:
First Name:SHAELYNNE
Middle Name:M
Last Name:POHLMAN
Suffix:
Gender:F
Credentials:CCP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:45211 HELM ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-6023
Mailing Address - Country:US
Mailing Address - Phone:734-525-9712
Mailing Address - Fax:
Practice Address - Street 1:5801 S MCCLINTOCK DR STE 110
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-6002
Practice Address - Country:US
Practice Address - Phone:734-245-4007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist