Individual
DR. CARL K. SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2141 MENTOR AVE, PAINESVILLE, OH 44077-1323
(440) 354-6900
(440) 354-6400
Mailing address
2141 MENTOR AVE, PAINESVILLE, OH 44077-1323
(440) 354-6900
(440) 354-6400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35043576
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0483230
—
OH
Enumeration date
07/13/2005
Last updated
05/06/2010
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