JUSTIN SHIELDS, PA
Physician Assistant
Active
Individual
NPI: 1730471368
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 5601006017 (MI) |
| Clinic/Center - Federally Qualified Health Center (FQHC) | 261QF0400X | No | - |
Frequently Asked Questions
NPI 1730471368 is the National Provider Identifier for JUSTIN SHIELDS, PA, a Physician Assistant provider located in Grand Rapids, MI. This NPI was enumerated on May 16, 2011.
JUSTIN SHIELDS, PA practices at 25 MICHIGAN ST NE STE 5100, Grand Rapids, MI 49503.
Quick Facts
- NPI
- 1730471368
- Type
- Individual
- Enumerated
- May 16, 2011
- Last Updated
- Oct 9, 2015
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