Individual provider · Type 1 NPI

Shanta Lynn Clark, P.A.-C

Physician Assistant · Dowagiac, MI

NPI number 1790169688 Active

Practice location

58620 Sink Rd, Pokagon Health Services
Dowagiac, MI 49047-9329

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601007413 (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 1790169688

Shanta Lynn Clark, P.A.-C's National Provider Identifier is 1790169688, issued on Jul 10, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dowagiac, MI. The record was last updated on Jul 10, 2015.