Individual
DR. MARK A. SHAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1535 GULL RD, SUITE 200, KALAMAZOO, MI 49048-1650
(269) 388-6350
(269) 388-4738
Mailing address
1535 GULL RD, SUITE 200, KALAMAZOO, MI 49048-1650
(269) 388-6350
(269) 388-4738
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
4301072271
MI
2085R0202X
Diagnostic Radiology Physician
Primary
4301072271
MI
2085R0202X
Diagnostic Radiology Physician
ME162110
FL
2085R0204X
Vascular & Interventional Radiology Physician
4301072271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4604969
—
MI
05
—
4840250
—
MI
Enumeration date
05/20/2006
Last updated
06/27/2023
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