Individual
MICHAEL J SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 442-5700
(808) 442-5701
Mailing address
85 MAUI LANI PKWY, WAILUKU, HI 96793-2416
(808) 442-5700
(808) 442-5701
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
214900
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02394223
—
NY
Enumeration date
08/17/2005
Last updated
07/01/2016
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