Individual
MR. MICHAEL A SHAFER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH NAVAL HOSPITAL, PORTSMOUTH, VA 23708-2111
(757) 953-9531
Mailing address
113 CHISMAN LNDG, SEAFORD, VA 23696-2345
(757) 898-3667
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110000094
VA
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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