Individual
DR. JEFFREY M SHIPKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
420 W MAGNETIC ST, SUITE ER, MARQUETTE, MI 49855-2711
(888) 674-0854
(906) 225-3370
Mailing address
4602 DEPT, CAROL STREAM, IL 60122-0021
(906) 225-4821
(906) 225-4537
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101015122
MI
208D00000X
General Practice Physician
Primary
5101015122
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4773184
—
MI
01
—
5101015122
MICHIGAN LICENSE NUMBER
MI
Enumeration date
11/29/2005
Last updated
03/22/2024
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