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Search › Michigan › 171M00000X

Shannon Packingham

NPI 1225651268 · on the registry since 2020

Practice

Address
1485 M 139
Benton Harbor, MI 49022
Phone
(269) 934-0585
Fax
(269) 927-1326
Organisation at this address
Genoa Healthcare Llc
Berrien Mental Health Authority
Berrien Mental Health Authority
Berrien Mental Health Authority
Intercare Community Health Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address
131

Registry record

Primary taxonomy
171M00000X
171M00000X
Sex
Male
Record last updated
2020-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan