# PETER SHAMAN, M.D., PC

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

## Provider details

- **NPI number:** 1225061005
- **Authorized official:** PETER P SHAMAN M.D., (PHYSICIAN)
- **Authorized official phone:** (248) 625-8555

## Contact information

- **Practice address:** 6770 DIXIE HWY, STE 313, CLARKSTON, MI 48346-2087
- **Practice address phone:** (248) 625-8555
- **Mailing address:** 591 LAKEVIEW DR, BIRMINGHAM, MI 48009
- **Mailing address phone:** (248) 594-6678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4301061627 | MI | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 08/22/2020