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Individual

SHAWNA S SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
2142 N COVE BLVD, 3RD FLOOR TOLEDO CHILDREN'S HOSPITAL, TOLEDO, OH 43606-3895
(419) 291-4225
(419) 479-6193
Mailing address
2142 NORTH COVE BLVD, 3RD FLOOR, PO BOX 12498, TOLEDO, OH 43606-0098
(419) 291-4225
(419) 479-6193

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
011708
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0129098
OH
01
10256
PARAMOUNT
05
1447418157
MI
01
4879554
AETNA
Enumeration date
05/29/2008
Last updated
04/16/2021
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