Individual
PAUL L SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4301505261
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
4301505261
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972913382
BWC
OH
Enumeration date
05/07/2014
Last updated
08/26/2025
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