Individual
MELISSA SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
WESTERN MICHIGAN UNIVERSITY, 1903 WESTERN MICHIGAN AVENUE, KALAMAZOO, MI 49008
(269) 387-3287
Mailing address
WESTERN MICHIGAN UNIVERSITY, 1903 WESTERN MICHIGAN AVENUE, KALAMAZOO, MI 49008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007162
MI
Other
Enumeration date
10/01/2014
Last updated
08/26/2019
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