Individual provider · Type 1 NPI
Stacie R. Shaw, PAC
Physician Assistant · Daggett, MI
Practice location
106 S School Road
Daggett, MI 49821
Fax (906) 753-2716
Mailing address
744 S Webster Ave, Medical Staff Services
Green Bay, WI 54301-3505
Other practice locations
- 1976 Lime Kiln Rd, Green Bay, WI 54311-4417 · (920) 445-7377
- 2015 Shawano Ave, Green Bay, WI 54303-2606 · (920) 592-9478
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 1117 (WI) |
| Physician Assistant Primary | 363A00000X | 5601005068 (MI) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
About NPI 1689784837
Stacie R. Shaw, PAC's National Provider Identifier is 1689784837, issued on Aug 30, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Daggett, MI. The record was last updated on Jan 5, 2026.