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Courtney Shank
NPI 1760312425 · on the registry since 2026
Practice
- Address
- 1822 Sherman Ave
South Bend, IN 46616 - Phone
- (304) 627-7098
Registry record
- Primary taxonomy
- 163WX0003X
163WX0003X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-22
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 Indiana