Individual
MICHAEL A SHELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 387-3290
(269) 387-2944
Mailing address
1903 W MICHIGAN AVE, KALAMAZOO, MI 49008-5200
(269) 387-3290
(269) 387-2944
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
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