MARY ELLEN THERESA SHIELDS

BEREA, KY
NPI1285680553
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: KY  30354)
Enumeration Date2006-05-26
Last Update Date2022-05-05
Business Address
MARY ELLEN THERESA SHIELDS M.D.
305 ESTILL ST
BEREA, KY 40403-1742
Phone number: 859-986-8418
Mailing Address
MARY ELLEN THERESA SHIELDS M.D.
PO BOX 936
LONDON, KY 40743-0936
Phone number: 859-986-8418
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