Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 5101021375 | MI |
N | 111NI0900X | Internist | 5101021375 | MI |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 5101021375 | MI |
NPI | 1033524764 |
---|---|
Provider Name | Daniel Shelden |
First Address | Ann Arbor, MI 48106-0482 |
Second Address | Ann Arbor, MI 48106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2014 |
Last Update Date | 21/06/2018 |