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Individual
MICHAEL ROBERT SHEMKUS
Active
Individual
MICHAEL ROBERT SHEMKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1858218
MA
Other
Enumeration date
05/13/2014
Last updated
08/29/2019
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