Individual
MR. SHASHIKANT NAGLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
21020 KELLY RD, EASTPOINTE, MI 48021-3126
(586) 777-8090
(586) 777-9180
Mailing address
1803 HALLMARK DR, TROY, MI 48098-4354
(248) 877-8090
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4186896
—
MI
Enumeration date
02/01/2006
Last updated
07/08/2007
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