Justin Shields, PA

NPI 1730471368 · on the registry since 2011 · sole proprietor

Practice

Address: 25 Michigan St Ne Ste 5100
Grand Rapids, MI 49503
Phone: (616) 267-0800
Fax: (616) 267-0801
Organisation at this address: Brent Optical
Spectrum Health Hospitals
Michigan Institute Of Urology Pc
Michigan Institute Of Urology Pc
Spectrum Health Primary Care Partners
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 246

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Also registered as: Federally Qualified Health Center (FQHC)
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-10-09

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