Individual
DR. WAN SHIN
Active
Individual
DR. WAN SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101030663
VA
2081P0004X
Spinal Cord Injury Medicine Physician
0101030663
VA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
0101030663
VA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
0101030663
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006841643
—
VA
05
—
1073521340
—
VA
Enumeration date
08/03/2006
Last updated
03/21/2012
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