IndividualActive
Brandon Shaw, PH.D
NPI 1255736039 · Medical Geneticist (PhD) Specialist/Technologist · Detroit, MI
Provider details
- NPI number
- 1255736039
- Entity type
- Individual
- Primary specialty
- Medical Geneticist (PhD) Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- PH.D
- Sex
- Male
- Sole proprietor
- No
Practice location
2799 W. Grand Blvd.
Detroit, MI 48202
Phone: (313) 870-1734
Fax: (313) 870-1701
Mailing address
2799 W. Grand Blvd.
Detroit, MI 48202
Registry dates
- Enumerated
- 2014-10-23
- Last updated
- 2014-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.