LEONID MIRONOVICH SHAMBAN

SAINT CLAIR SHORES, MI
NPI1225398431
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: MI  5101019763)
Enumeration Date2012-05-22
Last Update Date2018-05-15
Business Address
LEONID MIRONOVICH SHAMBAN D.O.
28963 LITTLE MACK AVE STE 101
SAINT CLAIR SHORES, MI 48081
Phone number: 586-447-0700
Mailing Address
LEONID MIRONOVICH SHAMBAN D.O.
28963 LITTLE MACK AVE STE 101
SAINT CLAIR SHORES, MI 48081-3017
Phone number: 586-447-0228
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