Individual
MRS. HOLLY R SHESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
900 COOPER AVE, SUITE 4100, SAGINAW, MI 48602-5182
(989) 497-9395
(989) 583-7173
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-2833
(989) 583-1440
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003647
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255327466
—
MI
Enumeration date
09/22/2005
Last updated
01/18/2021
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