Individual
DR. MICHAEL JAMES SHIEMBOB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
315 WEST MAIN STREET, AVON, CT 06001
(860) 678-3937
(860) 678-7217
Mailing address
226 FOREST DRIVE, WETHERSFIELD, CT 06109
(860) 529-1132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002536
CT
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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