Individual
MR. DOUGLAS R. SHEARER
Active
Individual
MR. DOUGLAS R. SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
055770
MI
208D00000X
General Practice Physician
49875-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356594691
MEDICARE GR UPIN
MI
01
—
1770562332
MEDICARE INDIVIDUAL PTAN
MI
05
—
2805583
—
MI
05
—
3475858
—
MI
01
—
MI1247
MEDICARE GROUP PTAN
MI
01
—
MI1247001
INDIVIDUAL PTAN
MI
Enumeration date
01/12/2006
Last updated
03/24/2021
Update your record
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