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Shad M Hines, DO
Student in an Organized Health Care Education/Training Program in Madison Heights, Michigan
NPI 1790487858

Shad M Hines is a Student in an Organized Health Care Education/Training Program based in Spokane Valley, MI. Shad M Hines practices in Madison Heights, MI and has the professional credentials of DO. The NPI Number for Shad M Hines is 1790487858 and holds a License No. (Michigan).

The current practice location address for Shad M Hines is 27351 Dequindre Rd, Madison Heights, MI and can be reached out via phone at 248-967-7123.

Location: 27351 Dequindre Rd, Madison Heights, MI, 99206-5636
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790487858
Provider Name
Shad M Hines
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
27351 Dequindre Rd, Madison Heights, MI, 99206-5636
Phone Number
248-967-7123
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27351 Dequindre Rd
City
Madison Heights
State
Michigan
Zip
48071-3487
Phone Number
248-967-7123
Fax Number
person
Provider Business Mailing Address Details
Address
27351 Dequindre Rd
City
Madison Heights
State
Michigan
Zip
48071-3487
Phone Number
248-967-7123
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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