person
Shantel Lynn Bleeker, PA-C,RD
Medical Physician Assistant in Portage, Michigan
NPI 1710389853

Shantel Lynn Bleeker is a Medical Physician Assistant based in Portage, MI and is specialized in Medical. Shantel Lynn Bleeker practices in Portage, MI and has the professional credentials of PA-C,RD. The NPI Number for Shantel Lynn Bleeker is 1710389853 and holds a License No. 5601007179 (Michigan).

The current practice location address for Shantel Lynn Bleeker is 3304 Cooley Ct, Portage, MI and can be reached out via phone at 269-349-2266 and via fax at 269-349-0792.

Location: 3304 Cooley Ct, Portage, MI, 49024-7430
person
Provider Profile Details
NPI Number
1710389853
Provider Name
Shantel Lynn Bleeker
Credential
PA-C,RD
Provider Entity Type
Individual
Gender
Female
Address
3304 Cooley Ct, Portage, MI, 49024-7430
Phone Number
269-349-2266
Fax Number
269-349-0792
Provider Enumeration Date
09/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3304 Cooley Ct
City
State
Zip
49024
Phone Number
269-349-2266
Fax Number
269-349-0792
person
Provider Business Mailing Address Details
Address
3304 Cooley Ct
City
State
Zip
49024
Phone Number
269-349-2266
Fax Number
269-349-0792
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601007179 (Michigan)
Definition
Definition to come...
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