Individual
MICHAEL F SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4190 E WOODMEN RD STE 100, COLORADO SPRINGS, CO 80920-8075
(719) 632-4455
(719) 633-4613
Mailing address
5020 N NEVADA AVE, BLDG K, COLORADO SPRINGS, CO 80918-8609
(206) 395-7870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0061679
CO
207Q00000X
Family Medicine Physician
OS-004716-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000860737
—
PA
Enumeration date
03/09/2006
Last updated
06/14/2022
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