Individual
MICHAEL JAMES ELKINS SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3401 S 4TH ST, TERRE HAUTE, IN 47802
(812) 232-9596
(812) 232-7992
Mailing address
3401 S 4TH ST, TERRE HAUTE, IN 47802-5501
(812) 201-3807
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
02005486A
IN
Other
Enumeration date
03/06/2012
Last updated
08/24/2018
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