Individual
JOEL M SHAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5050 SCHAEFER RD, DEARBORN, MI 48126-3249
(313) 581-2600
(313) 581-0228
Mailing address
6754 TIMBER RIDGE DR, BLOOMFIELD HILLS, MI 48301-3064
(248) 855-2450
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
5101006280
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023777
MIDWEST HEALTH PLAN
MI
01
—
110Q262840
BCBSM/BCN
MI
05
—
114590774
—
MI
01
—
236661
MEDICARE PROVIDER NO
MI
01
—
50930
OMNICARE HEALTH PLAN
MI
01
—
5730686
AETNA
MI
01
—
5823027
MEDICARE PROVIDER NO.
MI
Enumeration date
05/25/2006
Last updated
07/01/2008
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