Individual
MR. WILLIAM MICHAEL SHAFNACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC MHP
Contact information
Practice address
6 BUSINESS PARK DR STE 302, STONY CREEK URGENT CARE, BRANFORD, CT 06405-2988
(203) 483-4580
(203) 483-4581
Mailing address
28 WOODLAND DR, CLINTON, CT 06413-1301
(860) 669-4209
(860) 669-4209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001195
CT
363A00000X
Physician Assistant
789
MA
Other
Enumeration date
12/19/2005
Last updated
01/10/2012
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