MEDICARE: ROBERT S. SHAPIRO D.P.M., P.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
1	213ES0131X	Foot Surgery Podiatrist	5901000628	MI

General Provider Information

NPI Number	:	1205197100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT S. SHAPIRO D.P.M., P.C.

Provider Business Mailing Address
First Line	:	2017 MIDDLEBELT RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-2819
Country	:	US
Telephone Number	:	734-421-2727
Fax Number	:

Provider Business Practice Location Address
First Line	:	2017 MIDDLEBELT RD
Second Line	:
City	:	GARDEN CITY
State	:	MI
Zip	:	48135-2819
Country	:	US
Telephone Number	:	734-421-2727
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT S SHAPIRO
Credential	:	DPM
Telephone Number	:	734-421-2727

Provider Enumeration Date	:	06/06/2012
Last Update Date	:	06/06/2012

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