Provider Demographics
NPI:1831130392
Name:SHOEMAKER, DENNIS M (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:M
Last Name:SHOEMAKER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:6067 DELP. MAIL STOP 1028
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-3891
Mailing Address - Fax:913-945-6916
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:6067 DELP. MAIL STOP 1028
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-3891
Practice Address - Fax:913-945-6916
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2019-07-16
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Provider Licenses
StateLicense IDTaxonomies
MO2002015980207R00000X
KS05-42160207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease