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NPI Code Detail

MEDICARE: DR. SHAWN M COLE MD

MEDICARE:  DR. SHAWN M COLE  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
1207R00000XInternal Medicine Physician047065CT

General Provider Information

NPI Number : 1972787067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWN M COLE MD
Provider Business Mailing Address
First Line : 10850 E TRAVERSE HWY STE 1155
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-1363
Country : US
Telephone Number : 231-268-0013
Fax Number :
Provider Business Practice Location Address
First Line : 10850 E TRAVERSE HWY STE 1155
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-1363
Country : US
Telephone Number : 231-268-0013
Fax Number : 469-319-9379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2007
Last Update Date : 10/24/2025

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Directions to “ DR. SHAWN M COLE MD” Practice Location

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