IndividualActive
Jonathan Shaw, M.D.
NPI 1356672794 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Norton Shores, MI
Provider details
- NPI number
- 1356672794
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- EMC0002741 (MI)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense EMC0002741 (MI)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6401 Prairie St Ste 1700
Norton Shores, MI 49444-7843
Phone: (231) 672-7944
Fax: (231) 672-7994
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776982
Chicago, IL 60677-6982
Registry dates
- Enumerated
- 2010-01-25
- Last updated
- 2023-08-10
- Certified
- 2023-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.