Individual
DENNIS NORBERT SHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
DS047781
MI
207R00000X
Internal Medicine Physician
DS047781
MI
208000000X
Pediatrics Physician
Primary
4301047781
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740244789
—
MI
05
—
2768873
—
MI
Enumeration date
04/14/2006
Last updated
11/03/2023
Update your record
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