Individual
DARCY DONOVAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 E MICHIGAN AVE STE 655, LANSING, MI 48912-1837
(517) 267-2487
(517) 267-2488
Mailing address
3460 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2361
(816) 246-0800
(816) 246-0800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
20160000804
MO
208600000X
Surgery Physician
4301095056
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
20160000804
MO
Other
Enumeration date
07/01/2009
Last updated
01/21/2022
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