Individual
DR. MARCIA SHATTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(213) 487-4000
Mailing address
8857 RELIABLE PARKAWAY, CHICAGO, IL 60686-0001
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301061137
MI
Other
Enumeration date
11/23/2005
Last updated
08/24/2007
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