Individual
DR. STEVEN ADAM SHANBOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28747 WOODWARD AVE, BERKLEY, MI 48072-0914
(248) 546-2133
(248) 546-6036
Mailing address
28747 WOODWARD AVE, BERKLEY, MI 48072-0914
(248) 546-2133
(248) 546-6036
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301054486
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0980023
HEALTH PLUS
—
01
—
131574
CARECHOICES
—
01
—
18-0-63-2464-1
BCBS
MI
01
—
18-0-63-8385-1
BCBS
—
01
—
5888141
AETNA
—
01
—
P43246
BLUE CARE NETWORK
—
Enumeration date
08/09/2005
Last updated
03/27/2008
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