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Dr. Theodore William Shively, DO
Geriatric Medicine (Family Medicine) Physician in Novi, Michigan
NPI 1780666461

Theodore William Shively is a Geriatric Medicine (Family Medicine) Physician based in Novi, MI and is specialized in Geriatric Medicine. Theodore William Shively practices in Novi, MI and has the professional credentials of DO. The NPI Number for Theodore William Shively is 1780666461 and holds a License No. 5101007588 (Michigan).

The current practice location address for Theodore William Shively is 39555 W 10 Mile Rd, Novi, MI and can be reached out via phone at 248-426-7200. You can also correspond with Theodore William Shively through the mailing address at 39555 W 10 MILE RD, NOVI, MI - 48375-2950 (mailing address contact number: 248-426-7200).

Location: 39555 W 10 Mile Rd, Novi, MI, 48375-2950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780666461
Provider Name
Theodore William Shively
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
39555 W 10 Mile Rd, Novi, MI, 48375-2950
Phone Number
248-426-7200
Fax Number
Provider Enumeration Date
11/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4233780 05 MI
institution
Provider Business Practice Location Address Details
Address
39555 W 10 Mile Rd
City
Novi
State
Michigan
Zip
48375-2950
Phone Number
248-426-7200
Fax Number
person
Provider Business Mailing Address Details
Address
39555 W 10 Mile Rd
City
Novi
State
Michigan
Zip
48375-2950
Phone Number
248-426-7200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101007588 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
5101007588 (Michigan)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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