Individual
DONNA M SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
804 SERVICE ROAD, ROOM A142, EAST LANSING, MI 48824-7039
(517) 353-3050
(517) 432-3742
Mailing address
4206 WABANINGO RD, OKEMOS, MI 48864-4405
(517) 349-3114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004955
MI
Other
Enumeration date
03/28/2007
Last updated
12/19/2012
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