Gary H Shaw
Nephrologist
416 Connable Ave
Petoskey
, Michigan 49770-2212
Gary H Shaw
Nephrologist
416 Connable Ave
Petoskey
, Michigan 49770-2212
(231) 487-5069
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Gary H Shaw
- 560 W Mitchell St Ste 160
- Petoskey, MI
- Zip : 49770-2276
- Fax : (231) 487-5069
- Phone : (231) 487-3295
Second Address
- Gary H Shaw
- 416 Connable Ave
- Petoskey, MI
- Zip : 49770-2212
- Fax : (231) 487-7313
- Phone : (231) 487-7303
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 4301045389 | MI |
National Provider Identifier
| NPI | 1013921154 |
|---|---|
| Provider Name | Gary H Shaw |
| First Address | Petoskey, MI 49770-2276 |
| Second Address | Petoskey, MI 49770-2212 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 25/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013921154 | (05) | MI |
| GS045389 | BS STATE LIC# (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.