DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE LIEDEKE

Active

SHANE LIEDEKE is a Peer Specialist healthcare provider located in CASSOPOLIS, Michigan. NPI 1033971577 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · CASSOPOLIS, MI

Registration Details

NPI Number
1033971577
Provider Type
Individual
Gender
Male
NPI Issued
Jan 30, 2024 (2.3567469296674 yrs)
Last Updated
Jan 30, 2024

Practice Information

Address
1124 AUSTIN
CASSOPOLIS, MI, 490318310
Browse MI providers · Browse ZIP 49031
Phone
2692285188
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in CASSOPOLIS, MI

Name Credential NPI
BREEANNA JUNE SKYLER KRAFT 1295597839
JEREMY JOSEPH BYRD 1942063300
KELLEY A NICKEL CPRM CPS RN 1184487753
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.