G. Daniel Shanahan Iv Dpm Pc, NPI 1053417816
Foot & Ankle Surgery Podiatrist in Commerce Twp, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1053417816
NPI Entity Type Organization
Provider Name G. Daniel Shanahan Iv Dpm Pc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 9640 Commerce Rd Ste 102, Commerce Twp, MI, US
Provider Mailing Address 9640 Commerce Rd Ste 102, Commerce Twp, MI, US, 483824167
Is Sole Proprietor? No
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Organization Official

Official Name DR. DPM George Daniel Shanahan IV
Official Position OWNER
Phone 248-360-3888

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

213ES0103X

Taxonomy Name Foot & Ankle Surgery Podiatrist
Classification

Podiatrist

Group

Podiatric Medicine & Surgery Service Providers

Description Definition to come...

Business Address

G. Daniel Shanahan Iv Dpm Pc
9640 Commerce Rd Ste 102

Commerce Twp, MI, US

Phone: 248-360-3888
Fax: 248-363-0894

Mailing Address

G. Daniel Shanahan Iv Dpm Pc
9640 Commerce Rd Ste 102
Commerce Twp, MI, US
ZIP 483824167
Phone: 248-360-3888
Fax: 248-363-0894

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1770712358 JENNIFER L PETRONELLA DPM NPI NUMBER 01
5901002333 MI JENNIFER L PETRONELLA DPM STATE LICENSE 01
5901001605 MI G DANIEL SHANAHAN IV DPM STATE LICENSE 01
N78970 MEDICARE GROUP NUMBER 01
480F321940 MI BLUE CROSS BLUE SHIELD 01
1003818907 G. D SHANAHAN DPM NPI # 01
1790880284 AIMEE A. POPOFSKI DPM NPI NUMBER 01
5901002236 MI AIMEE A. POPOFSKI STATE LICENSE 01

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1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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