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Individual

DAVID P SHELDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4001 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 946-9122
(231) 935-0317
Mailing address
4001 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 946-9122
(231) 935-0317

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DS001425
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1916668
MI
01
480006147
RAILROAD MEDICARE
MI
01
4852850010
BC/BS
MI
Enumeration date
08/21/2006
Last updated
02/15/2012
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