SHAWN EDYVEAN

GREAT NORTHERN REHAB P C

Dr SHAWN EDYVEAN is a male medical professional, specializing in Physical Therapy. He graduated in 2001.

Contact

GREAT NORTHERN REHAB P C

1310 E CLOVERLAND DR
IRONWOOD
MI
499381606

Tel: 9069324200

SHAWN EDYVEAN Information

Npi 1285824581
Pac Id 2466625546
Professional Enrollment Id I20111107000064
Last Name EDYVEAN
First Name SHAWN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GREAT NORTHERN REHAB P C
Group Practice Pac Id 8729251269
Number Of Group Practice Members 3
Line 1 Street Address 1310 E CLOVERLAND DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IRONWOOD
State MI
Zip Code 499381606
Phone Number 9069324200
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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