Mackenzie Shallenberger, PA

NPI #1942573001 in Pittsfield, Illinois

Provider Information

NPI Number: 1942573001
Entity Type: Individual
Name: Mackenzie Shallenberger, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 20, 2012
Last Updated: Mar 22, 2023

Practice Location

Address: 640 W WASHINGTON ST
City: Pittsfield
State: Illinois
ZIP Code: 62363-1350
Phone: (217) 285-2113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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