Individual
MICHAEL SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17853 STATE ROUTE 31 STE B, MARYSVILLE, OH 43040-8835
(937) 578-4004
Mailing address
17853 STATE ROUTE 31 STE B, MARYSVILLE, OH 43040-8835
(937) 578-4004
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-093380
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3097983
—
OH
Enumeration date
05/17/2008
Last updated
06/26/2019
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