Individual
DR. SHAWN MICHAEL PRIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429
(937) 395-8166
Mailing address
3131 NEWMARK DR, MIAMISBURG, OH 45342-5448
(937) 438-8910
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-00-9155
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200983040
—
IN
05
—
2859821
—
OH
05
—
7100113550
—
KY
Enumeration date
12/18/2007
Last updated
09/16/2019
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