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NPI Code Detail

MEDICARE: DR. MICHAEL ELIAS SHIHA D.C.

MEDICARE: DR. MICHAEL ELIAS SHIHA D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301010096MI

General Provider Information

NPI Number : 1073950473
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ELIAS SHIHA D.C.
Provider Business Mailing Address
First Line : 115 E 3RD ST
Second Line :
City : ROCHESTER
State : MI
Zip : 48307-2011
Country : US
Telephone Number : 249-884-5433
Fax Number :
Provider Business Practice Location Address
First Line : 115 E 3RD ST
Second Line :
City : ROCHESTER
State : MI
Zip : 48307-2011
Country : US
Telephone Number : 249-884-5433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2013
Last Update Date : 05/28/2013

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