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Individual

DR. JAMES M SHIRILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
405 N DIVISION RD, SUITE 3, PETOSKEY, MI 49770-9045
(231) 487-3980
(231) 439-0278
Mailing address
109 W FLETCHER ST, ALPENA, MI 49707-2301
(989) 354-0845
(989) 354-2965

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
JS036674
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1102428731
BLUE SHIELD #
MI
05
4177153
MI
Enumeration date
07/19/2006
Last updated
07/09/2007
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