Individual
MICHAEL C SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 GARFIELD AVE, SUITE 400, PARKERSBURG, WV 26101-5444
(304) 485-4700
(304) 485-4466
Mailing address
705 GARFIELD AVE, SUITE 400, PARKERSBURG, WV 26101-5444
(304) 485-4700
(304) 485-4466
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17290
WV
207VG0400X
Gynecology Physician
17290
WV
207VG0400X
Gynecology Physician
35065899
OH
207VX0000X
Obstetrics Physician
35065899
OH
Other
Enumeration date
07/07/2005
Last updated
04/20/2022
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