person
Shanae A Hanoute, PAC
Medical Physician Assistant in Portage, Michigan
NPI 1215917836

Shanae A Hanoute is a Medical Physician Assistant based in Portage, MI and is specialized in Medical. Shanae A Hanoute practices in Portage, MI and has the professional credentials of PAC. The NPI Number for Shanae A Hanoute is 1215917836 and holds a License No. 5601003319 (Michigan).

The current practice location address for Shanae A Hanoute is 2600 W Centre Ave, Portage, MI and can be reached out via phone at 269-324-4141 and via fax at 269-324-2020.

Location: 2600 W Centre Ave, Portage, MI, 49024-4828
person
Provider Profile Details
NPI Number
1215917836
Provider Name
Shanae A Hanoute
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
2600 W Centre Ave, Portage, MI, 49024-4828
Phone Number
269-324-4141
Fax Number
269-324-2020
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215917836 05 MI
institution
Provider Business Practice Location Address Details
Address
2600 W Centre Ave
City
State
Zip
49024-4828
Phone Number
269-324-4141
Fax Number
269-324-2020
person
Provider Business Mailing Address Details
Address
2600 W Centre Ave
City
State
Zip
49024-4828
Phone Number
269-324-4141
Fax Number
269-324-2020
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601003319 (Michigan)
Definition
Definition to come...
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