person
Melody Shaw, PA
Medical Physician Assistant in Detroit, Michigan
NPI 1700905601

Melody Shaw is a Medical Physician Assistant based in Troy, MI and is specialized in Medical. Melody Shaw practices in Detroit, MI and has the professional credentials of PA. The NPI Number for Melody Shaw is 1700905601 and holds a License No. 5601004921 (Michigan).

The current practice location address for Melody Shaw is 3990 John R St, Detroit, MI and can be reached out via phone at 313-745-8040.

Location: 3990 John R St, Detroit, MI, 48098-5801
person
Provider Profile Details
NPI Number
1700905601
Provider Name
Melody Shaw
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3990 John R St, Detroit, MI, 48098-5801
Phone Number
313-745-8040
Fax Number
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3990 John R St
City
State
Zip
48201-2018
Phone Number
313-745-8040
Fax Number
person
Provider Business Mailing Address Details
Address
3990 John R St
City
State
Zip
48201-2018
Phone Number
313-745-8040
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601004921 (Michigan)
Definition
Definition to come...
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