Individual
DR. GARY L SHAPIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(313) 499-3000
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 687-1861
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301069267
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340H275000
BLUE CROSS OF MICHIGAN
MI
01
—
382032989
COMMERCIAL
MI
Enumeration date
11/30/2005
Last updated
10/31/2013
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