George Daniel Shanahan in Commerce Twp - Foot & Ankle Surgery

George Daniel Shanahan - NPI 1003818907

George Daniel Shanahan is a Foot & Ankle Surgery in Commerce Twp, Michigan. George Daniel Shanahan practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for George Daniel Shanahan is 1003818907. The last update date is 2011-12-19.

George Daniel Shanahan's current location address is 9640 Commerce Rd Ste 102, Commerce Twp, Michigan. You can contact this provider via phone number 2483603888 and fax number 2483630894. The mailing address for George Daniel Shanahan is 9640 Commerce Rd Ste 102, Commerce Twp, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name George Daniel Shanahan
Address 9640 Commerce Rd Ste 102, Commerce Twp, Michigan
Phone Number 2483603888
Fax Number 2483630894
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1003818907
Provider Enumeration Date 2005-08-11
Last Updated Date 2011-12-19

Provider Mailing Address Detail

Address 9640 Commerce Rd Ste 102
City Commerce Twp
State Michigan (MI)
Post Code 483824167
Phone Number 2483603888
Fax Number 2483630894

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No GDS001605
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
38-3128264 TAX ID
130147 MI CARE CHOICES
GDS001605 MI STATE LICENSE
5631126 MA BLUE CROSS BLUE SHIELD
U43179 MI HAP
297370213 MI --
4778520001 DME ADMINISTAR FEDERAL

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FAQs about George Daniel Shanahan

What is the unique identifier code issued to George Daniel Shanahan by the Centers for Medicare & Medicaid Services (CMS)?

The George Daniel Shanahan has been assigned the NPI (National Provider Identifier) 1003818907. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the George Daniel Shanahan located?

The George Daniel Shanahan is located at 9640 Commerce Rd Ste 102, Commerce Twp, MI 483824167.

What is the George Daniel Shanahan's area of specialization and corresponding taxonomy classification?

The George Daniel Shanahan's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.

When did George Daniel Shanahan receive its 1003818907 assignment?

The George Daniel Shanahan was assigned its 1003818907 on 2005-08-11, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to George Daniel Shanahan most recently updated or revised?

The details related to George Daniel Shanahan, including its address, specialty, and other relevant information, were last updated or revised on 2011-12-19.

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