NPI 1013608009

Shane McKenna, MD

Practitioner Internal Medicine Physician Royal Oak, MI

Practice location

Address: 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712
Phone: (248) 551-3000
Fax: (248) 551-9425
Mailing address: 3601 W 13 Mile Rd Ofc, Royal Oak, MI 48073-6712

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 4351051399 (MI)

Other Internal Medicine providers in Michigan →

Registry record

NPI: 1013608009
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2023
Record last updated: 19 May 2023

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.