Individual
DR. MARK RICHARD SHEBUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 W LAKESHORE DR, HOUGHTON, MI 49931-2200
(906) 487-1710
(906) 487-9421
Mailing address
301 W LAKESHORE DR, HOUGHTON, MI 49931-2200
(906) 487-1710
(906) 487-9421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301038377
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442446
—
MI
01
—
233857
RHC MEDICARE NUMBER
MI
01
—
4301038377
MI LICENSE NUMBER
MI
Enumeration date
06/01/2005
Last updated
03/07/2023
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