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Shane Davis Ford, PA
Surgical Physician Assistant in Alpena, Michigan
NPI 1952623985

Shane Davis Ford is a Surgical Physician Assistant based in Alpena, MI and is specialized in Surgical. Shane Davis Ford practices in Alpena, MI and has the professional credentials of PA. The NPI Number for Shane Davis Ford is 1952623985 and holds a License No. 5601005707 (Michigan).

The current practice location address for Shane Davis Ford is 1501 W Chisholm St, Alpena, MI and can be reached out via phone at 989-657-9348.

Location: 1501 W Chisholm St, Alpena, MI, 49707-8953
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952623985
Provider Name
Shane Davis Ford
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1501 W Chisholm St, Alpena, MI, 49707-8953
Phone Number
989-657-9348
Fax Number
Provider Enumeration Date
02/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1501 W Chisholm St
City
Alpena
State
Michigan
Zip
49707-1401
Phone Number
989-657-9348
Fax Number
person
Provider Business Mailing Address Details
Address
1501 W Chisholm St
City
Alpena
State
Michigan
Zip
49707-1401
Phone Number
989-657-9348
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
5601005707 (Michigan)
Definition
Definition to come...
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