MEDICARE: DR. SHELLY J. TEMPERLEY 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	208D00000X	General Practice Physician	4301051963	MI
2	207W00000X	Ophthalmology Physician	4301051963	MI

General Provider Information

NPI Number	:	1477556678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHELLY J. TEMPERLEY MD

Provider Business Mailing Address
First Line	:	1404 ARBOR AVE
Second Line	:
City	:	MONROE
State	:	MI
Zip	:	48162-3102
Country	:	US
Telephone Number	:	734-915-1376
Fax Number	:	740-294-5627

Provider Business Practice Location Address
First Line	:	1404 ARBOR AVE
Second Line	:
City	:	MONROE
State	:	MI
Zip	:	48162-3102
Country	:	US
Telephone Number	:	734-915-1376
Fax Number	:	740-294-5627

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	01/03/2024

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