Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THEODORE WILLIAM SHIVELY, D.O.
ActiveDR. THEODORE WILLIAM SHIVELY, D.O. is a Family Medicine healthcare provider located in NOVI, Michigan. NPI 1780666461 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NOVI, MI
Registration Details
- NPI Number
- 1780666461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2005 (20.780132463682 yrs)
- Last Updated
- Dec 13, 2011
- Licenses
-
5101007588 (MI)5101007588 (MI)
Practice Information
- Address
-
39555 W 10 MILE RDSUITE 302NOVI, MI, 483752950Browse MI providers · Browse ZIP 48375
- Phone
- 2484267200
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Geriatric Medicine
Other Family Medicine Providers in NOVI, MI
| Name | Credential | NPI |
|---|---|---|
| DR. MARSHALL BARNETT SACK | D.O. | 1629071170 |
| THOMAS JOSEPH ANAN | MD | 1104820463 |
| DR. JEFFREY JOSHOWITZ | D.O. | 1184624595 |
| DAVID MICHAEL PECK | MD | 1326048448 |
| SHALINI SINGH | MD | 1275534208 |
| GLENN TAYLOR | MD | 1689675878 |
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.