Michael Ed Shaw

NPI #1861969412 in Berlin, Vermont

Provider Information

NPI Number
1861969412
Entity Type
Individual
Name
Michael Ed Shaw
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Oct 31, 2018
Last Updated
Jul 22, 2025

Practice Location

Address
130 FISHER RD UNIT 1
City
Berlin
State
Vermont
ZIP Code
05602-8132
Phone
(802) 371-4264

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant

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