Individual
DR. CRISCHELLE L SHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9301
(304) 842-5090
Mailing address
350 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651-9301
(304) 872-5090
(717) 544-4149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22967
WV
207Q00000X
Family Medicine Physician
Primary
MD431895
PA
Other
Enumeration date
12/29/2006
Last updated
04/21/2022
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