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Dr. Jerold W Shagrin, MD
Rheumatology Physician in Berkley, Michigan
NPI 1720069636

Jerold W Shagrin is a Rheumatology Physician based in Berkley, MI and is specialized in Rheumatology. Jerold W Shagrin practices in Berkley, MI and has the professional credentials of MD. The NPI Number for Jerold W Shagrin is 1720069636 and holds a License No. 4301027957 (Michigan).

The current practice location address for Jerold W Shagrin is 1695 W 12 Mile Rd, Berkley, MI and can be reached out via phone at 248-548-9090 and via fax at 248-548-8462.

Location: 1695 W 12 Mile Rd, Berkley, MI, 48072-2100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720069636
Provider Name
Jerold W Shagrin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1695 W 12 Mile Rd, Berkley, MI, 48072-2100
Phone Number
248-548-9090
Fax Number
248-548-8462
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0F37128048 01 MI BCBSM PIN
institution
Provider Business Practice Location Address Details
Address
1695 W 12 Mile Rd
City
Berkley
State
Michigan
Zip
48072-2100
Phone Number
248-548-9090
Fax Number
248-548-8462
person
Provider Business Mailing Address Details
Address
1695 W 12 Mile Rd
City
Berkley
State
Michigan
Zip
48072-2100
Phone Number
248-548-9090
Fax Number
248-548-8462
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
207RR0500X
License No.
4301027957 (Michigan)
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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