Individual
DR. DOUGLAS E SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
515 W 14TH ST, SUITE A, TRAVERSE CITY, MI 49684-4059
(231) 941-5010
Mailing address
PO BOX 904, ANNA MARIA, FL 34216-0904
(231) 632-4380
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DS004118
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950B850130
BCBS ID
MI
Enumeration date
07/24/2006
Last updated
01/18/2017
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