Individual
MICHAEL J SHANAFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
307 W MAIN ST, STE B, KENT, OH 44240-2400
(330) 678-7782
(330) 678-7892
Mailing address
PO BOX 271, CUYAHOGA FALLS, OH 44222-0271
(330) 923-7066
(330) 923-8090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34006270
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036371
—
OH
Enumeration date
01/05/2006
Last updated
04/27/2021
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