| NPI | 1528178357 |
|---|---|
| Other Name | JEFFREY K SHAW DC PLLC |
| Entity Type | Organization |
| Authorized Contact | JEFFREY KENNETH SHAW Owner 231-947-0755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-01-13 |