DR. Michael Kenneth Shaw, DO

NPI #1386844926 in Brookings, Oregon

Provider Information

NPI Number: 1386844926
Entity Type: Individual
Name: DR. Michael Kenneth Shaw, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Jul 23, 2007
Last Updated: Jan 5, 2012

Practice Location

Address: 555 5TH ST
Address 2: SUITE #1
City: Brookings
State: Oregon
ZIP Code: 97415-9730
Phone: (541) 412-1152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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