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Individual

JOHN MICHAEL SHIMKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
10130 PERIMETER PKWY STE 200, CHARLOTTE, NC 28216-0197
(888) 849-7379
(855) 857-7333
Mailing address
10130 PERIMETER PKWY STE 200, CHARLOTTE, NC 28216-0197
(888) 849-7379
(855) 857-7333

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
270
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0816H
BLUE CROSS BLUE SHIELD
NC
05
890816H
NC
Enumeration date
08/30/2005
Last updated
10/12/2017
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