Wade Paul Shipley, PA-C

NPI #1962531913 in Polson, Montana

Provider Information

NPI Number: 1962531913
Entity Type: Individual
Name: Wade Paul Shipley, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 5, 2007
Last Updated: Apr 2, 2021

Practice Location

Address: 6 13TH AVE E
City: Polson
State: Montana
ZIP Code: 59860
Phone: (406) 883-5680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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