Randy J Shallow (NPI# 1609906866, PAC ID# 7012069461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1609906866 |
| PAC ID by PECOS | 7012069461 |
| Professional Enrollment ID | I20090715000386 |
| Full Name | Randy J Shallow |
| Address |
24820 Michigan Ave Dearborn MI 48124-1713 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 1979 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 24820 Michigan Ave, Dearborn, MI 48124-1713 |
| Street Address |
24820 MICHIGAN AVE |
| City | DEARBORN |
| State | MI |
| Zip | 48124-1713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bridget A Kujansuu | Clinical Social Worker | Pastoral Counseling and Consultation Service | 24110 Cherry Hill St, Dearborn, MI 48124-1356 |
| Ruby J Bowens | Clinical Social Worker | Pastoral Counseling and Consultation Service | 24110 Cherry Hill St, Dearborn, MI 48124-1356 |
| Beverly J Loudon | Clinical Social Worker | Pastoral Counseling and Consultation Service | 24110 Cherry Hill St, Dearborn, MI 48124-1356 |
| Stelian Marinescu | Cardiovascular Disease (cardiology) | 23100 Cherry Hill St, Suite 7, Dearborn, MI 48124-1449 | |
| Helene C Dombrowski | Dermatology | 23100 Cherry Hill St, Suite 10, Dearborn, MI 48124-1449 | |
| Cecelia F Hissong | Family Medicine | 23100 Cherry Hill St, Suite 8, Dearborn, MI 48124-1449 | |
| Hussein T Saad | Family Practice | 23100 Cherry Hill St, Suite 9, Dearborn, MI 48124-1449 | |
| William J Peters | Podiatry | 23100 Cherry Hill St, Suite 5, Dearborn, MI 48124-1493 | |
| Nouha Alammar | Otolaryngology | Spartan Surgical Associates Plc | 24530 Michigan Ave, Dearborn, MI 48124-1700 |
| Ramsey Hammoud | Orthopedic Surgery | Spartan Surgical Associates Plc | 24530 Michigan Ave, Dearborn, MI 48124-1700 |
| Find all physicians in zip 48124 | |||
| City | DEARBORN |
| Zip Code | 48124 |
| Specialty | CHIROPRACTIC |
| City + Specialty | DEARBORN + CHIROPRACTIC |
Please comment or provide details below to improve the information on Randy J Shallow.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.