Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 5315061542 | MI |
N | 207QA0401X | Family Doctor - Addiction Medicine | 34.012371 | OH |
NPI | 1851732754 |
---|---|
Provider Name | Dr. Joshua Aaron Shuh |
First Address | Dearborn Heights, MI 48127-1183 |
Second Address | Fostoria, OH 44830-1864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2013 |
Last Update Date | 24/05/2019 |