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Contact Information

BRIAN SHAW, MD
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI49546-8292
 Phone: 616-267-8244
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRIAN SHAW · (Male)

NPI # 1518321819
Status Active
Credentials MD
Entity Individual
Enumeration date 04/12/2016
Last updated 05/20/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301508133
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • UNIVERSITY HOSPITAL INC - (Acute Care)
    234 GOODMAN STREET
    CINCINNATI, OH 45219
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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