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Organization
G. DANIEL SHANAHAN IV DPM PC
Active
Organization
G. DANIEL SHANAHAN IV DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DANIEL SHANAHAN IV DPM (OWNER)
(248) 360-3888
Entity
Organization
Contact information
Practice address
9640 COMMERCE RD STE 102, COMMERCE TWP, MI 48382-4167
(248) 360-3888
(248) 363-0894
Mailing address
9640 COMMERCE RD STE 102, COMMERCE TWP, MI 48382-4167
(248) 360-3888
(248) 363-0894
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
03/19/2015
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