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Individual

NATHAN STEPANEK SHALLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1301 CATHERINE STREET, ANN ARBOR, MI 48109-5602
(734) 764-3270
(734) 615-2964
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
20107-01787
NC
390200000X
Student in an Organized Health Care Education/Training Program
4301101669
MI

Other

Enumeration date
07/18/2012
Last updated
05/24/2018
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