Individual provider · Type 1 NPI

Olivia Madeline Shaw, MS, PA-C

Physician Assistant · Troy, MI

NPI number 1720740665 Active

Practice location

44201 Dequindre Rd
Troy, MI 48085-1117

Call (248) 964-8193 Map

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice locations

  • 60005 Campground Rd Ste 600, Washington, MI 48094-3447 · (586) 372-3500
  • 44199 Dequindre Rd Ste 315, Troy, MI 48085-1128 · (248) 964-3600

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601011257
Medical Physician Assistant 363AM0700X5601011257 (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…

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About NPI 1720740665

Olivia Madeline Shaw, MS, PA-C's National Provider Identifier is 1720740665, issued on Oct 7, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Troy, MI. The record was last updated on Jan 12, 2024.