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

G. Daniel Shanahan Iv Dpm Pc is a Foot & Ankle Surgery Podiatrist based in Commerce Twp, MI and is specialized in Foot & Ankle Surgery. G. Daniel Shanahan Iv Dpm Pc practices in Commerce Twp, MI. The NPI Number for G. Daniel Shanahan Iv Dpm Pc is 1053417816 and holds a License No. (Michigan).

The current practice location address for G. Daniel Shanahan Iv Dpm Pc is 9640 Commerce Rd Ste 102, Commerce Twp, MI and can be reached out via phone at 248-360-3888 and via fax at 248-363-0894.

Location: 9640 Commerce Rd Ste 102, Commerce Twp, MI, 48382-4167
institution
Provider Profile Details
NPI Number
1053417816
Provider Name
G. Daniel Shanahan Iv Dpm Pc
Credential
Provider Entity Type
Organization
Address
9640 Commerce Rd Ste 102, Commerce Twp, MI, 48382-4167
Phone Number
248-360-3888
Fax Number
248-363-0894
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1770712358 01 JENNIFER L PETRONELLA DPM NPI NUMBER
5901002333 01 MI JENNIFER L PETRONELLA DPM STATE LICENSE
5901001605 01 MI G DANIEL SHANAHAN IV DPM STATE LICENSE
N78970 01 MEDICARE GROUP NUMBER
480F321940 01 MI BLUE CROSS BLUE SHIELD
1003818907 01 G. D SHANAHAN DPM NPI #
1790880284 01 AIMEE A. POPOFSKI DPM NPI NUMBER
5901002236 01 MI AIMEE A. POPOFSKI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
9640 Commerce Rd Ste 102
City
State
Zip
48382-4167
Phone Number
248-360-3888
Fax Number
248-363-0894
person
Provider Business Mailing Address Details
Address
9640 Commerce Rd Ste 102
City
State
Zip
48382-4167
Phone Number
248-360-3888
Fax Number
248-363-0894
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
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Definition
Definition to come...
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