Individual provider · Type 1 NPI
Michael Shane Pampuch
Student in an Organized Health Care Education/Training Program · Diamond, IL
NPI number
1063156586
Active
Practice location
2250 E Stellon St
Diamond, IL 60416-9749
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1063156586
Michael Shane Pampuch's National Provider Identifier is 1063156586, issued on Apr 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Diamond, IL. The record was last updated on Apr 21, 2022.