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

MS. Holly J Shank, PAC

Individual provider Physician Assistant · NPI 1972577583

MS. Holly J Shank, PAC is a Physician Assistant in Wyoming, Michigan. Qualified in 2002, 24 years ago. Practices with Mymichigan Medical Center Sault, a 102-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
24
Licensed in
MI
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2221 Health Dr SW Ste 2100
Wyoming, MI 49519-9650
Phone: (616) 252-4100
Fax: (616) 252-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 545 North State Rd, Stanton, MI 48888 — (989) 831-8301

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601003909 (MI)

Record details

NPI number1972577583
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 13, 2006
Last updated in NPPESFebruary 13, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mymichigan Medical Center Sault — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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