Individual
MICHAEL I SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2705 N LEBANON ST STE 265, LEBANON, IN 46052-8621
(765) 485-8830
(765) 485-8839
Mailing address
2705 N LEBANON ST STE 305, LEBANON, IN 46052-8622
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
01042903A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100415630
—
IN
Enumeration date
08/11/2005
Last updated
07/29/2021
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