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Individual
DOUGLAS WILLIAM SHEVLIN
Active
Individual
DOUGLAS WILLIAM SHEVLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036093225
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0436540
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2013018617
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0360932252
MEDICAID
IL
01
—
201073120A
KS MEDICAID
KS
01
—
2013018617
MO LICENSE
MO
01
—
PENDING
LA LICENSE
LA
Enumeration date
07/30/2006
Last updated
06/23/2022
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