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Jeffery Shively
NPI 1750771747 · on the registry since 2015 · sole proprietor
Practice
- Address
- 12007 Linwood St
Detroit, MI 48206 - Phone
- (313) 867-1090
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101Y00000X
- Sex
- Male
- Record last updated
- 2025-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan