Individual
JACK SHARTSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12923 LINCOLN DR, HUNTINGTON WOODS, MI 48070-1439
(248) 591-7940
Mailing address
12923 LINCOLN DR, HUNTINGTON WOODS, MI 48070-1439
(248) 591-7940
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301025592
MI
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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