Spiro And Shanbom MD PC
Specialist in Berkley, MI. Organization (NPI-2).
NPI number1184845331
StatusActive
Last updated in NPPESJun 10, 2014
Details
- NPI
- 1184845331
- Entity type
- Organization (NPI-2)
- Legal business name
- Spiro And Shanbom MD PC
- Organization subpart
- No
- Enumeration date
- May 2, 2007
- Last updated
- Jun 10, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 4301054486 | MI | Yes |
Other names
- Shanbom Eye Specialist (Doing Business As)
Practice location
28747 Woodward AveBerkley, MI 48072-0914
Phone 248-546-2133 · Fax 248-546-6036
Mailing address
28747 Woodward AveBerkley, MI 48072-0914
Phone 248-546-2133 · Fax 248-546-6036
Authorized official
Steven Adam Shanbom
President
2485462133
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