Individual
MR. GILBERT SHAW III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2636 MCDOUGALL ST, DETROIT, MI 48207-3336
(586) 244-9374
Mailing address
2632 MCDOUGALL ST, DETROIT, MI 48207-3336
(586) 244-9374
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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