Individual
MICHAEL WADE SHIFFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3273 CLAREMONT WAY, SUITE 100, NAPA, CA 94558-2908
(707) 254-7117
(707) 265-6435
Mailing address
3273 CLAREMONT WAY, SUITE 100, NAPA, CA 94558-3306
(707) 254-7117
(707) 265-6435
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G43050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G43050
MEDICAL LICENSE
CA
Enumeration date
06/01/2006
Last updated
04/10/2013
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