Individual
DR. JENNY PHU SHIH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
21040 GREENFIELD RD, OAK PARK, MI 48237-3025
(248) 967-6538
(248) 967-6552
Mailing address
7700 2ND AVE, DETROIT, MI 48202-2411
(313) 202-8660
(313) 202-8653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101017681
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H231390
BCBS GROUP NUMBER
MI
Enumeration date
06/17/2008
Last updated
03/02/2012
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