Individual
DR. SHANE RANDALL STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9460 S SAGINAW RD STE D, GRAND BLANC, MI 48439-8207
(810) 733-7741
(810) 733-8898
Mailing address
9460 S SAGINAW RD STE D, GRAND BLANC, MI 48439-8207
(810) 733-7741
(810) 733-8898
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2011-00006
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301106295
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16141
BCBSNC
NC
05
—
1730372913
—
MI
01
—
238727
MEDCOST
NC
05
—
5917026
—
NC
Enumeration date
08/22/2007
Last updated
09/19/2023
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