Individual
DR. SHAHAR MADJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 LAKESHORE DR., SUITE 210, ISHPEMING, MI 49849
(906) 485-2690
(906) 485-2736
Mailing address
901 LAKESHORE DR., SUITE 210, ISHPEMING, MI 49849
(906) 485-2690
(906) 485-2736
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301079421
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104856358
—
MI
01
—
3405202022
BCBS PIN
MI
01
—
4301079421
BOARD OF MEDICINE
MS
01
—
5315010427
BOARD OF PHARMACY
MS
01
—
SM079421
BCBS LICENSE
MI
Enumeration date
07/18/2006
Last updated
03/07/2023
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