Individual
NATHAN SHAVALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3231
(734) 496-0256
Mailing address
216 N HAMILTON ST APT 1, YPSILANTI, MI 48197-3023
(734) 837-7315
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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