Individual
FANG SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5130 COOLIDGE HIGHWAY, ROYAL OAK MEDICAL CENTER PC, ROYAL OAK, MI 48073
(248) 288-9500
(248) 288-0044
Mailing address
31456 SLEEPY HOLLOW LN, BEVERLY HILLS, MI 48025
(248) 203-1938
(248) 203-1938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301068007
MI
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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