Individual
DR. MICHAEL D SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 HOSPITAL RD, STARKVILLE, MS 39759-2163
(662) 615-2503
(662) 615-2554
Mailing address
400 HOSPITAL RD, STARKVILLE, MS 39759-2163
(662) 615-2503
(662) 615-2554
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
18567
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04776258
—
MS
Enumeration date
12/22/2005
Last updated
07/01/2008
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