Individual
DR. M. SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3 MEDICAL DR, CHILLICOTHE, OH 45601-8603
(740) 779-6612
(740) 779-6617
Mailing address
3 MEDICAL DR, CHILLICOTHE, OH 45601-8603
(740) 779-6612
(740) 779-6617
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
35.057234
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058053
—
OH
Enumeration date
10/24/2006
Last updated
09/10/2019
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