Individual
DR. ELY SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 S DRAKE RD, KALAMAZOO, MI 49009-3234
(269) 343-1296
(269) 344-8485
Mailing address
501 S DRAKE RD, KALAMAZOO, MI 49009-3234
(269) 343-1296
(269) 344-8485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ES430107
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C91567
BLUE CARE NETWORK
MI
05
—
5466660
—
MI
01
—
5761707
AETNA
MI
Enumeration date
06/29/2006
Last updated
03/25/2010
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