Individual
TOM G SHAHWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST STE M-124, KALAMAZOO, MI 49007-5377
(269) 341-7500
(269) 341-8314
Mailing address
601 JOHN ST, KALAMAZOO, MI 49007-5341
(269) 341-1954
(269) 341-8314
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
47773
MN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301101812
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
407170100
—
MN
Enumeration date
01/09/2006
Last updated
10/21/2024
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