DR. LORIEN SHACK, MD

Internal Medicine - Addiction Medicine

Active Individual
NPI: 1164710406

Practice Address

5333 MCAULEY DR. SUITE 5011
Ypsilanti, MI 48197

Phone: (734) 712-8700

Specialties

Specialty Code Primary License
Preventive Medicine - Public Health & General Preventive Medicine 2083P0901X No 4301099212 (MI)
General Practice 208D00000X No 4301099212 (MI)
Internal Medicine - Addiction Medicine 207RA0401X Yes 4301099212 (MI)

Frequently Asked Questions

NPI 1164710406 is the National Provider Identifier for DR. LORIEN SHACK, MD, a Internal Medicine - Addiction Medicine provider located in Ypsilanti, MI. This NPI was enumerated on July 20, 2011.
DR. LORIEN SHACK, MD practices at 5333 MCAULEY DR. SUITE 5011, Ypsilanti, MI 48197.

Quick Facts

NPI
1164710406
Type
Individual
Enumerated
Jul 20, 2011
Last Updated
Oct 10, 2024

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