Individual
MACKENZIE LEIGH SHATTUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7335 WESTSHIRE DR STE 102, LANSING, MI 48917-9703
(517) 662-1012
(517) 622-1033
Mailing address
804 SERVICE RD STE A202, EAST LANSING, MI 48824-7015
(517) 622-1012
(517) 622-1033
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101028121
MI
Other
Enumeration date
06/02/2021
Last updated
01/13/2025
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