Shelby Brewington, PA-C
Physician Assistant in Bloomfield Hills, MI. Individual provider (NPI-1).
NPI number1104381847
StatusActive
Last updated in NPPESFeb 6, 2019
Details
- NPI
- 1104381847
- Entity type
- Individual (NPI-1)
- Name
- Shelby Brewington
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2019
- Last updated
- Feb 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | MI | Yes |
Practice location
4050 W Maple Rd Ste 101Bloomfield Hills, MI 48301-3118
Phone 248-885-8211
Mailing address
21395 Waverly DrMacomb, MI 48044-1863
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