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Individual

MIKE S. SHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
860 W. SEVENTH ST., HANFORD, CA 93230-4926
(559) 585-7252
(559) 585-7253
Mailing address
860 W. SEVENTH ST., HANFORD, CA 93230-4926
(559) 585-7252
(559) 585-7253

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
22219
OK
207Y00000X
Otolaryngology Physician
Primary
A97516
CA
207YP0228X
Pediatric Otolaryngology Physician
22219
OK
207YS0123X
Facial Plastic Surgery Physician
22219
OK
207YX0602X
Otolaryngic Allergy Physician
22219
OK

Other

Enumeration date
09/21/2005
Last updated
09/08/2015
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