Individual
DR. AHMED OSMAN SHATILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, MC 217, GRAND RAPIDS, MI 49503-2560
(616) 957-4090
(616) 957-4095
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 957-4090
(616) 957-4095
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301086268
MI
Other
Enumeration date
10/08/2008
Last updated
09/21/2010
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