Individual
ELI E SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8098
(586) 493-8706
Mailing address
PO BOX 1108, ATTN: LYNDA THOMPSON, ANN ARBOR, MI 48106-1108
(734) 677-7400
(734) 677-7407
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101008012
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310E011330
BCBS GROUP#
MI
01
—
3155011944
BCBS INDIVIDUAL #
MI
05
—
3524756
—
MI
Enumeration date
07/05/2006
Last updated
07/09/2007
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