Individual
LEONID MIRONOVICH SHAMBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
28963 LITTLE MACK AVE STE 101, SAINT CLAIR SHORES, MI 48081-3017
(586) 447-0700
(586) 498-0707
Mailing address
28963 LITTLE MACK AVE STE 101, SAINT CLAIR SHORES, MI 48081-3017
(586) 447-0700
(586) 447-0795
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
5101019763
MI
Other
Enumeration date
05/22/2012
Last updated
09/22/2025
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