Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON PAVLAK
ActiveSHANNON PAVLAK is a Physician Assistant healthcare provider located in EAST LANSING, Michigan. NPI 1063393718 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EAST LANSING, MI
Registration Details
- NPI Number
- 1063393718
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Sep 9, 2025 (0.90745754585718 yrs)
- Last Updated
- Sep 9, 2025
Practice Information
- Address
-
909 WILSON RDEAST LANSING, MI, 488246410Browse MI providers · Browse ZIP 48824
- Phone
- 5173532460
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in EAST LANSING, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. ELIZABETH C MALSHESKE | PA-C | 1932199262 |
| MR. ADAM T GOMOLL | PA C | 1598730715 |
| KRISTIN HALSELL | PA-C | 1629024856 |
| DANIEL MATTHEW MALSHESKE | PA | 1902848666 |
| AMY L. WORTHING | PA | 1306870126 |
| RANDY L SCHOTT | PA-C | 1568487940 |
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.