# SHAMAN HEALTH EMS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023770211
- **Authorized official:** MR. MICHAEL JAMES KOWALSKY (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (734) 652-3053

## Contact information

- **Practice address:** 4777 E OUTER DR, DETROIT, MI 48234-3241
- **Practice address phone:** (586) 300-5750
- **Practice address fax:** (586) 913-8018
- **Mailing address:** 4777 E OUTER DR, DETROIT, MI 48234-3241
- **Mailing address phone:** (586) 300-5750
- **Mailing address fax:** (586) 913-8018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2021
- **Last updated:** 10/09/2021