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SHAILENDRA MISRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
725 S SHOOP AVE, WAUSEON, OH 43567-1702
(419) 335-3333
(419) 337-7845
Mailing address
3800 WOODWARD AVE, SUITE 600, DETROIT, MI 48201-2061

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.091910
OH

Other

Enumeration date
10/17/2007
Last updated
04/05/2018
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