Individual
DR. BETH-ANN SHANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5325 ELLIOTT DR, SUITE 104, YPSILANTI, MI 48197-8633
(734) 712-8150
(734) 712-8151
Mailing address
5325 ELLIOTT DR, SUITE 104, YPSILANTI, MI 48197-8633
(734) 712-8150
(734) 712-8151
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA09095100
NJ
208C00000X
Colon & Rectal Surgery Physician
Primary
4301109950
MI
208C00000X
Colon & Rectal Surgery Physician
ME116260
FL
390200000X
Student in an Organized Health Care Education/Training Program
ME116260
FL
Other
Enumeration date
07/20/2013
Last updated
06/20/2016
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