SearchMichigan390200000X

Jason Shanker

NPI 1750247300 · on the registry since 2025 · sole proprietor

Practice

Address
30200 Telegraph Rd
Bingham Farms, MI 48025
Phone
(248) 712-1129
Fax
(248) 792-3249
Organisation at this address
David G. Mikkola Pc
E3 Care Givers, Llc
Rrd Acquisition, Llc
Kleinman Counseling Pllc
Neurological Surgery, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
105

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-29

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