Individual
SHANE MICHAEL WOOLEVER
Active
Individual
SHANE MICHAEL WOOLEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101013704
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4361305
—
MI
01
—
5170026
BCBS
MI
01
—
SW013704
MICHIGAN LICENSE NUMBER
MI
Enumeration date
11/28/2006
Last updated
07/08/2007
Update your record
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