Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacy Shattuck

Individual provider Other Technician · NPI 1164899100

Stacy Shattuck is an Other Technician in Midland, Michigan. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

4512 N Saginaw Rd Apt 812
Midland, MI 48640-2357
Phone: (989) 620-6875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1164899100
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2015
Last updated in NPPESAugust 25, 2015

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