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Individual

DR. VINCENT SHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
215 E MANSION ST, SUITE 2B, MARSHALL, MI 49068-1559
(269) 789-3940
(269) 789-3879
Mailing address
PO BOX 913, SOUTH HAVEN, MI 49090-0913
(269) 789-3940
(269) 789-3879

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101039774
VA
207RH0003X
Hematology & Oncology Physician
01090612A
IN
207RH0003X
Hematology & Oncology Physician
104098
MT
207RX0202X
Medical Oncology Physician
104098
MT
207RX0202X
Medical Oncology Physician
Primary
4301082993
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104594094
MI
01
1101310581
BCBS MICHIGAN PROVIDER
MI
01
760748463
TAX ID
MI
Enumeration date
01/03/2007
Last updated
08/08/2023
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