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Individual
DR. NATHAN SHANE
Active
Individual
DR. NATHAN SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36.004061
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
016005776
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
07001318A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
111825
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
36.004061
OH
Other
Enumeration date
04/14/2015
Last updated
06/03/2026
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