Individual
DR. JOHN ADAM SHANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Mailing address
2213 CHERRY ST, TOLEDO, OH 43608-2603
(419) 251-4724
(419) 251-2698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35-122761
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2012
Last updated
03/11/2014
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