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NPI Code Detail

MEDICARE: SHAWN-MICHAEL SPEIGHT MD

MEDICARE: SHAWN-MICHAEL SPEIGHT 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
1390200000XStudent in an Organized Health Care Education/Training ProgramMI

General Provider Information

NPI Number : 1295678282
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN-MICHAEL SPEIGHT MD
Provider Business Mailing Address
First Line : 205 N EAST AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-1753
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 205 N EAST AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-1753
Country : US
Telephone Number : 517-205-7148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ SHAWN-MICHAEL SPEIGHT MD” Practice Location

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