NPI 1013544030

Wesley Hannah Shane, DO

Practitioner Pediatrics Physician Grand Rapids, MI

Practice location

Address: 100 Michigan St NE, Grand Rapids, MI 49503-2560
Phone: (866) 989-7999

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 5101027303 (MI)

Other Pediatrics providers in Michigan →

Pediatric Critical Care Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0203X Licence 5101027303 (MI)

Registry record

NPI: 1013544030
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2020
Record last updated: 10 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.