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

Shane Tripp, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366238818

Shane Tripp, MD is a Student in an Organized Health Care Education/Training Program in Howell, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
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

3399 E Grand River Ave Ste 202
Howell, MI 48843-7555
Phone: (734) 539-5080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351053872 (MI)

Record details

NPI number1366238818
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 22, 2025
Mailing address1200 E Hospital Dr., D3230, Ann Arbor, MI 48109

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