Individual
DR. ANDREW ALSHAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(906) 635-4460
Mailing address
500 OSBORN BLVD, SAULT SAINTE MARIE, MI 49783-1822
(906) 635-4460
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
4301090851
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
4301090851
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1212393
CIGNA
—
01
—
503912892
BLUE CROSS BLUE SHIELD
MI
05
—
5189963-10
—
MI
Enumeration date
03/14/2007
Last updated
07/01/2015
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