Shining Shield Medical Group, PC
Organization Active NPI Family Medicine Physician · Marne, MI
NPI 1649709502 · NPPES record last updated Jun 5, 2017
Key facts
- NPI
- 1649709502
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SHINING SHIELD MEDICAL GROUP, PC
- Practice address
- 15140 16TH Ave
Marne, MI 49435-9605 - Phone
- (269) 704-7563
- NPI assigned
- Jun 5, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony Janas, MD
- Title
- President
- Phone
- (269) 589-1056
Practitioners 1
-
Anthony B Janas, MD
National Provider Directory
Locations
15140 16th Ave
Marne, MI 49435
Phone (269) 704-7563
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | |||
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
15140 16TH Ave
Marne, MI 49435-9605
Mailing address
207 Capital Ave NE
Battle Creek, MI 49017-3926
Phone (269) 266-2863
Other providers in Marne, MI
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- Nicholas James Selzer
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- Serenity Homes-North
- Serenity Point Recovery Inc
- Bibhas Singla
- Sophia Noel Smith
- Angela D Staal
- Tessa V Sterling
- Wade Randolph Stitt
All providers in Marne, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.