Individual provider · Type 1 NPI

Stacy Shattuck

Other Technician · Midland, MI

NPI number 1164899100 Active

Practice location

4512 N Saginaw Rd Apt 812
Midland, MI 48640-2357

Call (989) 620-6875 Map

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1164899100

Stacy Shattuck's National Provider Identifier is 1164899100, issued on Aug 25, 2015. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Midland, MI. The record was last updated on Aug 25, 2015.