Individual
DR. BERNARD W. SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30140 HARPER AVE, SUITE 300, SAINT CLAIR SHORES, MI 48082-1610
(586) 293-1868
(586) 293-1869
Mailing address
30140 HARPER AVE, SUITE 300, SAINT CLAIR SHORES, MI 48082-1610
(586) 293-1868
(586) 293-1869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301088798
MI
208M00000X
Hospitalist Physician
4301088798
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417032491
NPI #
MI
05
—
4945780-10
—
MI
01
—
70-0-F32947-0
BCBS CPIN #
MI
Enumeration date
10/26/2006
Last updated
03/04/2015
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