Shelby Petersen

NPI 1245006709 · on the registry since 2023

Practice

Address: 4100 Embassy Dr Se Ste 400
Grand Rapids, MI 49546
Phone: (822) 061-6988
Organisation at this address: Emergency Care Specialists Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-22

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