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1750399655
MARTHA J SHADEL
CANTON, MI
NPI
1750399655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 5101011186)
Enumeration Date
2006-08-04
Last Update Date
2013-06-13
Business Address
-- MARTHA J SHADEL DO
7300 CANTON CENTER DR (EMERGENCY DEPT)
CANTON, MI 48187-1579
Phone number: 734-454-8002
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Mailing Address
-- MARTHA J SHADEL DO
38935 ANN ARBOR RD CREDENTIALING DEPARTMENT
LIVONIA, MI 48150-3397
Phone number: 888-861-8740
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