Individual
DR. ERIC S SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST, SUITE M-170, KALAMAZOO, MI 49007-5341
(269) 381-5060
(269) 381-1655
Mailing address
601 JOHN ST, SUITE M-170, KALAMAZOO, MI 49007-5341
(269) 381-5060
(269) 381-1655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301059651
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003858770
—
MI
01
—
1103902331
BCBS IND PIN
MI
01
—
110C910470
BCBS GRP PIN
MI
01
—
155422
GREAT LAKES HLTH PLN
—
05
—
3489263-10
—
MI
01
—
5033427
AETNA PIN
—
Enumeration date
06/10/2006
Last updated
11/27/2023
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