Individual
DEANNA SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2597 SCHOENERSVILLE RD, STE 201, BETHLEHEM, PA 18017-7325
(610) 867-4545
(610) 867-0843
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA056793
PA
Other
Enumeration date
03/22/2014
Last updated
06/23/2023
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