William A Shell PA

NPI 1093896508 - Physician Assistant - 363A00000X

NPI Details
NPI 1093896508
Gender Male
Enumeration Date 10/18/2006
Last Updated 04/28/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
4085 BURTON ST SE
SUITE 102
GRAND RAPIDS MI, 49546-2444, US
Phone (616) 267-8346
Fax (616) 940-8004
Business Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Michigan
License Number 5601004498
Remove 1093896508 NPI Number
 

According to our database, William A Shell PA NPI is 1093896508, taxonomy code is 363A00000X and license number is 5601004498, license state is located at Michigan. William A Shell PA physically located at 4085 Burton St Se, Grand Rapids MI, 49546-2444. NPI Number William A Shell PA has the Individual type.

Sponsored links

1093896508 NPI number is provided on an as is basis without warranty of any kind. 1093896508 is maintained by the National Plan & Provider Enumeration System. The contents of William A Shell PA are for informational purposes only.