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

Gary H Shaw, MD

Individual provider Nephrology Physician · NPI 1013921154

Gary H Shaw, MD is a Nephrology Physician in Petoskey, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

416 Connable Ave
Petoskey, MI 49770-2212
Phone: (231) 487-7303
Fax: (231) 487-7313
Show map & directions

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

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 4301045389 (MI)

Record details

NPI number1013921154
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 27, 2006
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020
Mailing address560 W Mitchell St, Ste 160, Petoskey, MI 49770-2276

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