Individual
DR. EDWARD J SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 MERCY DR STE 100, MUSKEGON, MI 49444-1836
(231) 733-1326
(231) 722-5212
Mailing address
1400 MERCY DR STE 100, MUSKEGON, MI 49444-1836
(231) 733-1326
(231) 722-5212
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301109052
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2011
Last updated
03/17/2018
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