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Individual

PATRIC G SHAMOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301507709
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301507709
MI

Other

Enumeration date
06/10/2020
Last updated
03/04/2024
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