Individual
ROBERT SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
142 E MAUMEE ST, ADRIAN, MI 49221-2735
(571) 263-5810
Mailing address
142 E MAUMEE ST STE 3, ADRIAN, MI 49221-2735
(517) 263-5810
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
APRN.CNP.0036827
MI
Other
Enumeration date
07/20/2024
Last updated
09/06/2024
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