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Individual

MICHAEL A SHELDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
5101008333
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0P46120
GROUP PTAN
01
1153911694
BLUE CROSS INDIVIDUAL PIN
MI
01
700C943750
BLUE CROSS GROUP PIN
MI
Enumeration date
03/28/2007
Last updated
12/09/2008
Update your record

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