Individual
DR. MICHAEL R. SHUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
906 MAIN STREET, SAXTON, PA 16678
(814) 635-3176
(814) 635-3017
Mailing address
906 MAIN STREET, SAXTON, PA 16678
(814) 635-3176
(814) 635-3017
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS024088L
PA
1223G0001X
General Practice Dentistry
Primary
DS024088L
PA
Other
Enumeration date
08/02/2006
Last updated
10/24/2016
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