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Individual
MRS. SHANNON M JANSMA
Active
Individual
MRS. SHANNON M JANSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004657
MI
363AS0400X
Surgical Physician Assistant
5601004657
MI
Other
Enumeration date
09/03/2006
Last updated
05/28/2026
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