Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shane Michael Dignan, PA-C

Individual provider Physician Assistant · NPI 1679195176

Shane Michael Dignan, PA-C is a Physician Assistant in Roseville, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

25509 Kelly Rd Ste A
Roseville, MI 48066-5823
Phone: (586) 252-2616
Fax: (313) 563-8443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009967 (MI)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X (MI)

Record details

NPI number1679195176
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 7, 2020
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 15, 2022
Mailing address25509 Kelly Rd Ste A, Roseville, MI 48066-5823

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