Organization
VINCENT SHEN MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT SHEN M.D. (PRESIDENT)
(269) 789-3940
Entity
Organization
Contact information
Practice address
215 E MANSION ST, SUITE 2E, MARSHALL, MI 49068-1559
(269) 789-3940
(269) 789-3879
Mailing address
215 E MANSION ST, SUITE 2E, MARSHALL, MI 49068-1559
(269) 789-3940
(269) 789-3879
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301082993
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101310581
MI BCBS
MI
05
—
4594094
—
MI
Enumeration date
09/18/2007
Last updated
10/14/2011
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