Maurice Anthony Shively, DDS | |
E23970 Pow Wow Trail Rd, Watersmeet, MI 49969 | |
(906) 358-4587 | |
(906) 358-4118 |
Full Name | Maurice Anthony Shively |
---|---|
Gender | Male |
Speciality | Dentist |
Location | E23970 Pow Wow Trail Rd, Watersmeet, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275713570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901009716 (Michigan) | Primary |
Mailing Address | Practice Location Address |
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Maurice Anthony Shively, DDS Po Box 249, Watersmeet, MI 49969 Ph: (906) 358-4587 | Maurice Anthony Shively, DDS E23970 Pow Wow Trail Rd, Watersmeet, MI 49969 Ph: (906) 358-4587 |
Rebecca Larson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: N5241 Us Highway 45, Watersmeet, MI 49969 Phone: 906-358-4931 | |
Mr. Mark R Bognar, DDS Dentist Medicare: Medicare Enrolled Practice Location: E 23970 Pow Wow Trail Rd, Lac Vieux Desert Health Center, Watersmeet, MI 49969 Phone: 906-358-4587 Fax: 906-358-4118 |