Individual
SHAWN M LETARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 W GREENLAWN, LANSING, MI 48910
(517) 487-1288
(517) 487-1129
Mailing address
1031 E SAGINAW STREET, LANSING, MI 48906
(517) 487-1288
(517) 487-1129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301070473
MI
207P00000X
Emergency Medicine Physician
4301070473
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
382168683
TAX ID
MI
05
—
4188630
—
MI
01
—
4301070473
MEDICAL LICENSE
MI
Enumeration date
01/23/2007
Last updated
06/16/2013
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