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Peter Joseph Shaw, MD
Student in an Organized Health Care Education/Training Program in Fort Wayne, Indiana
NPI 1568924454

Peter Joseph Shaw is a Student in an Organized Health Care Education/Training Program based in Fort Wayne, IN. Peter Joseph Shaw practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Peter Joseph Shaw is 1568924454 and holds a License No. 01087769A (Indiana).

The current practice location address for Peter Joseph Shaw is 7950 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-435-7001.

Location: 7950 W Jefferson Blvd, Fort Wayne, IN, 46804-4160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568924454
Provider Name
Peter Joseph Shaw
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7950 W Jefferson Blvd, Fort Wayne, IN, 46804-4160
Phone Number
260-435-7001
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7950 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4160
Phone Number
260-435-7001
Fax Number
person
Provider Business Mailing Address Details
Address
7950 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4160
Phone Number
260-435-7001
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
4351044601 (Michigan)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
01087769A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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