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NPI Code Detail

MEDICARE: DR. SHELLEY DIANE HERSHNER MD

MEDICARE: DR. SHELLEY DIANE HERSHNER 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
12084N0400XNeurology Physician4301078313MI
22084S0012XSleep Medicine (Psychiatry & Neurology) Physician4301078313MI

General Provider Information

NPI Number : 1134290604
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHELLEY DIANE HERSHNER MD
Provider Business Mailing Address
First Line : 3621 S STATE ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1633
Country : US
Telephone Number : 734-647-5299
Fax Number :
Provider Business Practice Location Address
First Line : 1500 E MEDICAL CENTER DR
Second Line :
City : ANN ARBOR
State : MI
Zip : 48109-5000
Country : US
Telephone Number : 734-936-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 04/22/2021

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Directions to “ DR. SHELLEY DIANE HERSHNER MD” Practice Location

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