Individual
MARK SHAMOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CHILDREN'S HOSPITAL OF MI, 3901 BEAUBIEN 2ND, DETROIT, MI 48201
(313) 745-5515
(313) 745-5237
Mailing address
UNIVERSITY PEDIATRICIANS, 4201 ST. ANTOINE UHC 5D # 226, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301110072
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301110072
MI
Other
Enumeration date
03/26/2013
Last updated
07/25/2019
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