Individual
PAUL ALAN SHAFFER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 HOWARD ST, KALAMAZOO, MI 49001-2748
(269) 344-4458
Mailing address
401 HOWARD ST, KALAMAZOO, MI 49001-2748
(269) 344-4458
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703122160
MI
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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