LEONID MIRONOVICH SHAMBAN

SOUTHFIELD, MI
NPI1225398431
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RG0100X Internal Medicine Gastroenterology
(Licence: MI  5101019763)
Enumeration Date2012-05-22
Last Update Date2025-03-04
Business Address
LEONID MIRONOVICH SHAMBAN D.O.
22250 PROVIDENCE DR STE 301A
SOUTHFIELD, MI 48075-6211
Phone number: 248-849-3281
Mailing Address
LEONID MIRONOVICH SHAMBAN D.O.
3168 SOLUTIONS CENTER BOX 773168
CHICAGO, IL 60677-3001
Phone number: 248-680-8000
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