Individual
D MICHAEL SHASBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4418
(319) 353-6406
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4418
(319) 353-6406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23014
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
23014
IA
207RP1001X
Pulmonary Disease Physician
Primary
23014
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0195198
—
IA
01
—
19519
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
12/18/2007
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