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NPI Code Detail

MEDICARE: ANDREW J SHIZAS

MEDICARE: ANDREW J SHIZAS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1447016654
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW J SHIZAS
Provider Business Mailing Address
First Line : 4427 STONEWOOD CT
Second Line :
City : ROCHESTER
State : MI
Zip : 48306-4646
Country : US
Telephone Number : 248-979-5809
Fax Number :
Provider Business Practice Location Address
First Line : 505 E MAPLE RD
Second Line :
City : TROY
State : MI
Zip : 48083-2806
Country : US
Telephone Number : 248-918-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2024
Last Update Date : 02/26/2024

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Directions to “ ANDREW J SHIZAS ” Practice Location

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