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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY H SHAW, M.D.

Active Sole Proprietor

GARY H SHAW, M.D. is a Nephrology healthcare provider located in PETOSKEY, Michigan. NPI 1013921154 is currently active in the NPPES registry. Verify at CMS.

Nephrology · PETOSKEY, MI

Registration Details

NPI Number
1013921154
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2006 (20.073496086971 yrs)
Last Updated
Sep 25, 2020
License
4301045389 (MI)
Sole Proprietor
Yes

Practice Information

Address
416 CONNABLE AVE
PETOSKEY, MI, 497702212
Browse MI providers · Browse ZIP 49770
Phone
2314877303
Fax
2314877313
Primary Specialty
Nephrology
207RN0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.