Individual
SHANE MICHAEL WOOLEVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
146 W SPRUCE ST, SAULT SAINTE MARIE, MI 49783-1912
(906) 635-5100
(906) 635-1143
Mailing address
146 W SPRUCE ST, SAULT SAINTE MARIE, MI 49783-1912
(906) 635-5100
(906) 635-1143
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
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