Individual
SHAWN OBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 W WASHINGTON AVE, SUITE 350, JACKSON, MI 49201-2180
(517) 788-9677
(517) 817-7616
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-0002
(517) 841-6913
(517) 841-6917
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101017692
MI
Other
Enumeration date
07/18/2008
Last updated
10/24/2008
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