Organization
JAMES F SHETLAR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES F SHETLAR MD (PRESIDENT)
(989) 652-9969
Entity
Organization
Contact information
Practice address
163 F CHURCH GROVE ROAD, FRANKENMUTH, MI 48734-9322
(989) 652-9969
Mailing address
163 F CHURCH GROVE ROAD, FRANKENMUTH, MI 48734-9322
(989) 652-9969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JS30247
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSEJS30247
LICENSE
MI
Enumeration date
01/09/2007
Last updated
10/26/2007
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