Shining Shield Medical Group, PC

NPI #1649709502 in Marne, Michigan

Provider Information

NPI Number: 1649709502
Entity Type: Organization
Organization Name: Shining Shield Medical Group, PC
Primary Specialty: Family Medicine
Enumeration Date: Jun 5, 2017
Last Updated: Jun 5, 2017

Practice Location

Address: 15140 16TH AVE
City: Marne
State: Michigan
ZIP Code: 49435-9605
Phone: (269) 704-7563

Authorized Official

Name: DR. ANTHONY JANAS, MD
Title: PRESIDENT
Phone: (269) 589-1056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Family Medicine	207Q00000X	Primary

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