Individual
DR. MARK E SHELDON
Active
Individual
DR. MARK E SHELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301044636
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701575
—
MI
01
—
180011912
MEDICARE RR
MI
01
—
180D148331
BCBS
MI
Enumeration date
07/11/2005
Last updated
06/09/2008
Update your record
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