George Daniel Shanahan IV DPM

NPI 1003818907 - Podiatrist - 213ES0103X

NPI Details
NPI 1003818907
Gender Male
Enumeration Date 08/11/2005
Last Updated 12/19/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
9640 COMMERCE RD STE 102
COMMERCE TWP MI, 48382-4167, US
Phone (248) 360-3888
Fax (248) 363-0894
Business Location
9640 COMMERCE RD STE 102
COMMERCE TWP MI, 48382-4167, US
Phone (248) 360-3888
Fax (248) 363-0894
Toxanomy
Taxonomy Code 213ES0103X
License State Michigan
License Number GDS001605
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According to our database, Dr. George Daniel Shanahan IV DPM NPI is 1003818907, taxonomy code is 213ES0103X and license number is GDS001605, license state is located at Michigan. George Daniel Shanahan IV DPM physically located at 9640 Commerce Rd Ste 102, Commerce Twp MI, 48382-4167. NPI Number George Daniel Shanahan IV DPM has the Individual type.

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1003818907 NPI number is provided on an as is basis without warranty of any kind. 1003818907 is maintained by the National Plan & Provider Enumeration System. The contents of George Daniel Shanahan IV DPM are for informational purposes only.