Provider Demographics
NPI:1952482093
Name:VOSS, SHANNA MARIE (OD)
Entity Type:Individual
Prefix:DR
First Name:SHANNA
Middle Name:MARIE
Last Name:VOSS
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:1700 S PARK ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-2779
Mailing Address - Country:US
Mailing Address - Phone:248-661-5100
Mailing Address - Fax:248-661-8816
Practice Address - Street 1:6530 FARMINGTON RD # 300
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3216
Practice Address - Country:US
Practice Address - Phone:248-661-5100
Practice Address - Fax:248-661-8616
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2017-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIL719012152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist