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Individual

MICAH BURWELL SHOOK

Active
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Individual

MICAH BURWELL SHOOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116035185
VA
207R00000X
Internal Medicine Physician
Primary
2024-01292
NC
207R00000X
Internal Medicine Physician
5101028814
MI
207R00000X
Internal Medicine Physician
OS22733
FL

Other

Enumeration date
05/26/2021
Last updated
07/15/2026
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