Individual
MEGAN SHELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
2571 HOUNDS CHASE DR, TROY, MI 48098-2338
(248) 918-9666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
04/02/2025
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