Individual
ALISHA SHAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 W 9TH ST, JASPER, IN 47546
(812) 996-2345
Mailing address
800 W 9TH ST, JASPER, IN 47546-2514
(812) 996-8478
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01082390A
IN
207P00000X
Emergency Medicine Physician
4301110183
MI
Other
Enumeration date
06/24/2016
Last updated
08/21/2019
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