Individual
MR. SAMUEL SHAWN SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1535 GULL RD, SUITE 105, KALAMAZOO, MI 49048-1650
(269) 385-9900
(269) 385-2140
Mailing address
1535 GULL RD, SUITE 105, KALAMAZOO, MI 49048-1650
(269) 385-9900
(269) 385-2140
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003954
MI
Other
Enumeration date
04/13/2006
Last updated
03/18/2021
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