Individual provider · Type 1 NPI
Jonathon Allan Short, PA-C
Medical Physician Assistant · Shelby Charter Township, MI
NPI number
1326514696
Active
Practice location
46961 Van Dyke Ave
Shelby Charter Township, MI 48317
Mailing address
1366 Peachwood Dr
Flint, MI 48507-5635
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601008879 (MI) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1326514696
Jonathon Allan Short, PA-C's National Provider Identifier is 1326514696, issued on Oct 15, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shelby Charter Township, MI. The record was last updated on Oct 15, 2018.