Provider Demographics
NPI:1316268816
Name:SHEMES, HILLARY AGNES (DO)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:AGNES
Last Name:SHEMES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:406 E ELM ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48811-9693
Mailing Address - Country:US
Mailing Address - Phone:989-584-3971
Mailing Address - Fax:989-584-6734
Practice Address - Street 1:114 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:MI
Practice Address - Zip Code:48847-1132
Practice Address - Country:US
Practice Address - Phone:989-875-4166
Practice Address - Fax:989-875-5168
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116022581207Q00000X
MI5101020719207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine