Individual
DR. ROBERT C. SHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1098 S STATE ROAD 25, LOGANSPORT, IN 46947-6723
(574) 722-4141
(574) 735-3414
Mailing address
1098 S STATE ROAD 25, LOGANSPORT, IN 46947-6723
(574) 722-4141
(574) 735-3414
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01061706A
IN
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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