Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 35-050605 | OH |
NPI | 1477563070 |
---|---|
Provider Name | Dr. Michael A Mcshane |
First Address | Upper Arlington, OH 43220-2246 |
Second Address | Upper Arlington, OH 43220-2246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 03/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0720778 | (05) | OH |
E29865 | (02) | OH |