Individual
THOMAS M SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1133 COLLEGE AVE, BLDG E-220, MANHATTAN, KS 66502-2777
(785) 539-5341
(785) 539-1238
Mailing address
1133 COLLEGE AVE, BLDG E-220, MANHATTAN, KS 66502-2777
(785) 539-5341
(785) 539-1238
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-16954
KS
208600000X
Surgery Physician
0416954
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100293760A
—
KS
Enumeration date
10/13/2005
Last updated
06/27/2011
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