Individual provider · Type 1 NPI

Nicole Marie Shields, PA-C

Medical Physician Assistant · Mount Clemens, MI

NPI number 1073999629 Active

Practice location

133 S Main St
Mount Clemens, MI 48043-2308

Fax (586) 465-0329

Mailing address

2689 Solution Center
Chicago, IL 60677-2464

Other practice locations

  • 6071 W Outer Dr, Detroit, MI 48235-2624 · (313) 966-3300

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601007332 (MI)

Medical Physician Assistant: Definition to come...

29 other providers at this address

Other medical physician assistant providers in Mount Clemens

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About NPI 1073999629

Nicole Marie Shields, PA-C's National Provider Identifier is 1073999629, issued on Aug 5, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mount Clemens, MI. The record was last updated on Mar 7, 2023.