Individual
DR. EVAN RONALD SHAPIRO
Active
Individual
DR. EVAN RONALD SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
4301076680
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174698336
—
MI
05
—
1487796504
—
MI
01
—
DD1273
MEDICARE RAILROAD GROUP
MI
Enumeration date
04/22/2006
Last updated
08/19/2009
Update your record
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