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John Shively, M.D
NPI 1770763153 · on the registry since 2007
Practice
- Address
- 3701 State Road 26 E
Lafayette, IN 47905 - Phone
- (765) 448-5800
- Fax
- (765) 448-2032
Registry record
- Primary taxonomy
- 2083X0100X
2083X0100X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-14
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 Indiana