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

SHANTEL LYNN BLEEKER, PA-C, RD

Active

SHANTEL LYNN BLEEKER, PA-C, RD is a Medical Physician Assistant healthcare provider located in PORTAGE, Michigan. NPI 1710389853 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PORTAGE, MI

Registration Details

NPI Number
1710389853
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2014 (11.939244139714 yrs)
Last Updated
Jan 21, 2019
License
5601007179 (MI)

Practice Information

Address
3304 COOLEY CT
PORTAGE, MI, 49024
Browse MI providers · Browse ZIP 49024
Phone
2693492266
Fax
2693490792
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in PORTAGE, MI

Name Credential NPI
SHANAE A HANOUTE PA C 1215917836
MISS PAIGE JENNIFER HICKSON PA-C 1568425973
BRIDGET SAGE KENNY P.A.-C. 1952349862
MR. MICHAEL MAURICE CLAUSSEN PA-C 1528150893
MRS. MELISSA VISSER P.A.-C 1588844328
LINDSAY KAY REMMLER PA-C 1932433935
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.