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1114170735

NPI Code Detail

MEDICARE: JEFFREY H SHUHAIBER MD

MEDICARE: JEFFREY H SHUHAIBER MD

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	234980	MA
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	MD463223	PA
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	C134620	CA
4	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	036-109317	IL
5	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	4301512405	MI

General Provider Information

NPI Number	:	1114170735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY H SHUHAIBER MD

Provider Business Mailing Address
First Line	:	1100 E MICHIGAN AVE STE 307
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-1850
Country	:	US
Telephone Number	:	517-205-7605
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 E MICHIGAN AVE STE 307
Second Line	:
City	:	JACKSON
State	:	MI
Zip	:	49201-1850
Country	:	US
Telephone Number	:	517-205-7605
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	07/24/2024

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Directions to “ JEFFREY H SHUHAIBER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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