Individual
DR. JONATHAN T SHAMASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, ACNP-BC
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 295-1491
Mailing address
50855 MARIA ST, NEW BALTIMORE, MI 48047-2163
(586) 295-1491
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704260406
MI
Other
Enumeration date
08/09/2010
Last updated
01/28/2021
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