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Dr. Shahar Madjar, MD
Specialist in Ishpeming, Michigan
NPI 1740208701

Shahar Madjar is a Specialist based in Ishpeming, MI. Shahar Madjar practices in Ishpeming, MI and has the professional credentials of MD. The NPI Number for Shahar Madjar is 1740208701 and holds a License No. 4301079421 (Michigan).

The current practice location address for Shahar Madjar is 901 Lakeshore Dr., Ishpeming, MI and can be reached out via phone at 906-485-2690 and via fax at 906-485-2736.

Location: 901 Lakeshore Dr., Ishpeming, MI, 49849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740208701
Provider Name
Shahar Madjar
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
901 Lakeshore Dr., Ishpeming, MI, 49849
Phone Number
906-485-2690
Fax Number
906-485-2736
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SM079421 01 MI BCBS LICENSE
104856358 05 MI
3405202022 01 MI BCBS PIN
5315010427 01 MS BOARD OF PHARMACY
4301079421 01 MS BOARD OF MEDICINE
institution
Provider Business Practice Location Address Details
Address
901 Lakeshore Dr.
City
Ishpeming
State
Michigan
Zip
49849
Phone Number
906-485-2690
Fax Number
906-485-2736
person
Provider Business Mailing Address Details
Address
901 Lakeshore Dr.
City
Ishpeming
State
Michigan
Zip
49849
Phone Number
906-485-2690
Fax Number
906-485-2736
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301079421 (Mississippi)
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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