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Individual

DR. MITCHELL S SHEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 S ADAMS RD, SUITE 101, BIRMINGHAM, MI 48009-7005
(248) 646-9597
(248) 646-4067
Mailing address
800 S ADAMS RD, SUITE 101, BIRMINGHAM, MI 48009-7005
(248) 646-9597
(248) 646-4067

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301407365
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070008143
MEDICARE RAILROAD
MI
05
316769010
MI
Enumeration date
10/25/2005
Last updated
07/16/2010
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