Individual
MRS. ADRIENNE CHABOT SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7315 WINTER VIEW DR SW, BYRON CENTER, MI 49315-6943
(574) 210-9612
Mailing address
7315 WINTER VIEW DR SW, BYRON CENTER, MI 49315-6943
(574) 210-9612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010060
MI
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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