Individual
ADAM SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 584-1000
Mailing address
1920 WILSON VIEW CIR APT 108, WINSTON SALEM, NC 27103-2073
(281) 785-2556
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
491735
OH
Other
Enumeration date
01/25/2025
Last updated
01/25/2025
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