Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Shaw

Individual provider Electroneurodiagnostic Specialist/Technologist · NPI 1932989027

Benjamin Shaw is an Electroneurodiagnostic Specialist/Technologist in Wixom, Michigan. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

28345 Beck Rd Ste 103
Wixom, MI 48393-4733
Phone: (866) 766-3783
Fax: (248) 254-6524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Electroneurodiagnostic Specialist/Technologist (primary) Taxonomy 246ZE0600X

Record details

NPI number1932989027
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 5, 2023
Last updated in NPPESOctober 5, 2023
Certification dateOctober 5, 2023
Mailing address28345 Beck Rd Ste 103, Wixom, MI 48393-4733

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