Search › Michigan › 103TC0700X
John Shack, PH.D
NPI 1942478706 · on the registry since 2008 · sole proprietor
Practice
- Address
- 713 Wilderness Dr.
Douglas, MI 49406 - Phone
- (269) 857-8644
- Fax
- (269) 857-8644
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-14
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