Individual
MICHAEL MACALISTER SHIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4030
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4030
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
05290
RI
Other
Enumeration date
05/23/2021
Last updated
07/04/2023
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