Individual
JUSTIN MERRITT SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3079 28TH ST SE, KENTWOOD, MI 49512-1667
(616) 942-0795
(616) 942-0901
Mailing address
1802 GALLOWAY ST, EAU CLAIRE, WI 54703-3467
(715) 831-8966
(715) 831-8968
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3501005725
MI
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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