Organization
M. SHANK, M.D., PH.D., INC.
Active
Other names
Diabetes and Metabolism Special1st Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. SHANK M.D., PH.D. (PRESIDENT)
(419) 227-1570
Entity
Organization
Contact information
Practice address
715 W NORTH ST, LIMA, OH 45801-3922
(419) 227-1570
(419) 227-5005
Mailing address
715 W NORTH ST, LIMA, OH 45801-3922
(419) 227-1570
(419) 227-5005
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35057234
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058053
—
OH
Enumeration date
03/26/2007
Last updated
08/22/2020
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