Organization
SHANE WOOLEVER DO PC
Active
Organization
SHANE WOOLEVER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE MICHAEL WOOLEVER DO (MEDICAL DOCTOR)
(906) 635-5100
Entity
Organization
Contact information
Practice address
146 W SPRUCE ST, SAULT SAINTE MARIE, MI 49783-1912
(906) 635-5100
(906) 635-1143
Mailing address
146 W SPRUCE ST, SAULT SAINTE MARIE, MI 49783-1912
(906) 635-5100
(906) 635-1143
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101013704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4361305
—
MI
Enumeration date
11/05/2010
Last updated
11/05/2010
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