Individual
DR. NEIL T SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
27593 HARPER, SAINT CLAIR SHORES, MI 48081
(586) 779-6140
(586) 779-9865
Mailing address
27593 HARPER, SAINT CLAIR SHORES, MI 48081
(586) 779-6140
(586) 779-9865
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001895
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4532888
—
MI
01
—
4855010390
BLUE CROOS PIN NUMBER
MI
Enumeration date
06/01/2006
Last updated
02/04/2008
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