NPI 1063857779

Jason Shellnut, MD, PC

Organisation Colon & Rectal Surgery Physician Royal Oak, MI

Practice location

Address: 1121 Crooks Rd, Royal Oak, MI 48067-1301
Phone: (248) 541-8554
Fax: (248) 541-1791

Authorised official

Name: Jean Leman
Title: Asst Office Manager
Phone: (248) 541-8554

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 4301092631 (MI)

Other Colon & Rectal Surgery providers in Michigan →

Registry record

NPI: 1063857779
Entity type: Organization
NPI issued: 8 May 2013
Record last updated: 27 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.