Marvin D Shie III M.D.

NPI 1083699227 - Surgery - 208600000X

NPI Details
NPI 1083699227
Gender Male
Enumeration Date 12/09/2005
Last Updated 02/12/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
LAKEWOOD OH, 44107-5622, US
Phone (216) 221-7400
Fax (216) 221-7950
Business Location
P.O. BOX 74692
CLEVELAND OH, 44194-0002, US
Phone (440) 895-5021
Fax (440) 895-5050
Taxonomy Code 208600000X
License State Ohio
License Number 35035105S
Remove 1083699227 NPI Number

According to our database, Dr. Marvin D Shie III M.D. NPI is 1083699227, taxonomy code is 208600000X and license number is 35035105S, license state is located at Ohio. Marvin D Shie III M.D. physically located at 15644 Madison Avenue, Lakewood OH, 44107-5622. NPI Number Marvin D Shie III M.D. has the Individual type.

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1083699227 NPI number is provided on an as is basis without warranty of any kind. 1083699227 is maintained by the National Plan & Provider Enumeration System. The contents of Marvin D Shie III M.D. are for informational purposes only.