Individual provider · Type 1 NPI
Melody Shaw, PA
Medical Physician Assistant · Detroit, MI
NPI number
1700905601
Active
Practice location
3990 John R St
Detroit, MI 48201-2018
Mailing address
4967 Crooks Rd, Ste 130
Troy, MI 48098-5801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601004921 (MI) |
Medical Physician Assistant: Definition to come...
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Other medical physician assistant providers in Detroit
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- Linda Ryznar, PA-CMedical Physician Assistant Detroit, MI NPI 1073632964
- Antzela Tsiamoura, PA-CMedical Physician Assistant Detroit, MI NPI 1093317208
- Perry J. Olson, P.A.-C.Medical Physician Assistant Detroit, MI NPI 1104847847
- Amy B. Oatfield, PA-CMedical Physician Assistant Detroit, MI NPI 1104974443
About NPI 1700905601
Melody Shaw, PA's National Provider Identifier is 1700905601, issued on Mar 29, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Detroit, MI. The record was last updated on Jul 29, 2015.