Individual
DR. IBRAHIM S SHAMIEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 WEST CEDAR STREET, STANDISH, MI 48658
(989) 846-3500
(989) 846-3462
Mailing address
PO BOX 125, STANDISH, MI 48658
(989) 846-3500
(989) 846-3462
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301064684
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0988839
HEALTH PLUS
MI
01
—
3500670651
BCBSM
MI
05
—
4255957
—
MI
01
—
P89032
BCN
MI
Enumeration date
05/04/2006
Last updated
08/04/2010
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