Shannon Pavlak
NPI #1063393718 in East Lansing, Michigan
Provider Information
- NPI Number
- 1063393718
- Entity Type
- Individual
- Name
- Shannon Pavlak
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 9, 2025
- Last Updated
- Sep 9, 2025
Practice Location
- Address
- 909 WILSON RD
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48824-6410
- Phone
- (517) 353-2460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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