MEDICARE: DR. ROBERT KERRY SHLAIN DPM

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	213E00000X	Podiatrist	0927	MI
2	213E00000X	Podiatrist	E2537	CA
3	213E00000X	Podiatrist	1314	FL
4	213E00000X	Podiatrist	0748	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861563512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT KERRY SHLAIN DPM

Provider Business Mailing Address
First Line	:	7432 SHERWOOD CREEK COURT
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3170
Country	:	US
Telephone Number	:	248-788-1099
Fax Number	:

Provider Business Practice Location Address
First Line	:	7432 SHERWOOD CREEK COURT
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3170
Country	:	US
Telephone Number	:	248-788-1099
Fax Number	:

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/08/2007

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