Individual
CHAD DONALD SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1787 W BIG BEAVER RD, SUITE #250, TROY, MI 48084-3548
(248) 649-4193
Mailing address
1346 WINDING RIDGE DR, 3A, GRAND BLANC, MI 48439-7567
(269) 326-0607
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5501017424
MI
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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