Healthcare Provider Details

I. General information

NPI: 1457409088
Provider Name (Legal Business Name): GERALD ALAN SHIENER M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 E MERRILL ST SUITE 230
BIRMINGHAM MI
48009-6121
US

IV. Provider business mailing address

251 E MERRILL ST SUITE 230
BIRMINGHAM MI
48009-6121
US

V. Phone/Fax

Practice location:
  • Phone: 248-645-5155
  • Fax: 248-645-2665
Mailing address:
  • Phone: 248-645-5155
  • Fax: 248-645-2665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberGS036563
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberGS036563
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberGS036563
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License NumberGS036563
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: