Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACIE R SHAW, PAC
ActiveSTACIE R SHAW, PAC is a Physician Assistant healthcare provider located in DAGGETT, Michigan. NPI 1689784837 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DAGGETT, MI
Registration Details
- NPI Number
- 1689784837
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.941317227685 yrs)
- Last Updated
- Jan 5, 2026
- Licenses
-
1117 (WI)5601005068 (MI)
Practice Information
- Address
-
106 S SCHOOL ROADDAGGETT, MI, 49821Browse MI providers · Browse ZIP 49821
- Phone
- 9067532155
- Fax
- 9067532716
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
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.