Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHATAN MACK
Active Sole ProprietorSHATAN MACK is a Community/Behavioral Health healthcare provider located in GRAND BLANC, Michigan. NPI 1972160430 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · GRAND BLANC, MI
Registration Details
- NPI Number
- 1972160430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 21, 2019 (7.2625084521924 yrs)
- Last Updated
- May 21, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
8285 S SAGINAW ST STE 7GRAND BLANC, MI, 484392436Browse MI providers · Browse ZIP 48439
- Phone
- 8103213001
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in GRAND BLANC, MI
| Name | Credential | NPI |
|---|---|---|
| KELSEY KIDD | — | 1982261285 |
| ALONA TUCKER | — | 1205493012 |
| KIERRA PATRICK | — | 1447817267 |
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.