Individual
SAMUEL KIRK SHEWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5550
(015) 874-6878
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9806476-1206
UT
Other
Enumeration date
10/01/2014
Last updated
03/29/2022
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