# M. SHANK, M.D., PH.D., INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Diabetes and Metabolism Special1st Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558489062
- **Authorized official:** DR. M. SHANK M.D., PH.D. (PRESIDENT)
- **Authorized official phone:** (419) 227-1570

## Contact information

- **Practice address:** 715 W NORTH ST, LIMA, OH 45801-3922
- **Practice address phone:** (419) 227-1570
- **Practice address fax:** (419) 227-5005
- **Mailing address:** 715 W NORTH ST, LIMA, OH 45801-3922
- **Mailing address phone:** (419) 227-1570
- **Mailing address fax:** (419) 227-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 35057234 | OH | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2058053 | — | OH |