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Kenneth W. Shaheen, M.d.,p.c.
Specialist in Troy, Michigan
NPI 1093987927

Kenneth W. Shaheen, M.d.,p.c. is a Specialist based in Troy, MI. Kenneth W. Shaheen, M.d.,p.c. practices in Troy, MI. The NPI Number for Kenneth W. Shaheen, M.d.,p.c. is 1093987927 and holds a License No. KS048031 (Michigan).

The current practice location address for Kenneth W. Shaheen, M.d.,p.c. is 2585 Crooks Rd, Troy, MI and can be reached out via phone at 248-283-1110 and via fax at 248-283-1114.

Location: 2585 Crooks Rd, Troy, MI, 48084-4702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093987927
Provider Name
Kenneth W. Shaheen, M.d.,p.c.
Credential
Provider Entity Type
Organization
Address
2585 Crooks Rd, Troy, MI, 48084-4702
Phone Number
248-283-1110
Fax Number
248-283-1114
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2406317142 01 MI BCBS OF MICHIGAN
institution
Provider Business Practice Location Address Details
Address
2585 Crooks Rd
City
Troy
State
Michigan
Zip
48084-4702
Phone Number
248-283-1110
Fax Number
248-283-1114
person
Provider Business Mailing Address Details
Address
2585 Crooks Rd
City
Troy
State
Michigan
Zip
48084-4702
Phone Number
248-283-1110
Fax Number
248-283-1114
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
KS048031 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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