| Shining Shield Medical Group, Pc | |
|
15140 16th Ave Marne MI 49435-9605 | |
| (269) 704-7563 | |
| Not Available |
| Full Name | Shining Shield Medical Group, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 15140 16th Ave, Marne, Michigan |
| Authorized Official Name and Position | Anthony Janas (PRESIDENT) |
| Authorized Official Contact | 2695891056 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shining Shield Medical Group, Pc 207 Capital Ave Ne Battle Creek MI 49017-3926 Ph: (269) 266-2863 | Shining Shield Medical Group, Pc 15140 16th Ave Marne MI 49435-9605 Ph: (269) 704-7563 |
| NPI Number | 1649709502 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 06/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649709502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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