Individual
JOEL M SHAVELL
Active
Individual
JOEL M SHAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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