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Search › Michigan › 390200000X

Nicole Shattuck

NPI 1619564887 · on the registry since 2020 · sole proprietor

Practice

Address
3360 Tittabawassee Rd
Saginaw, MI 48604
Phone
(989) 790-5101
Organisation at this address
Meijer Inc
Covenant Medical Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-22

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