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SHANNON WASMUND PA
NPI 1154371409
Physician Assistant - Medical in Clinton Township, MI

Active since May 10, 2006
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 263-5446 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Wasmund Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON WASMUND PA (NPI 1154371409) is an individual medical provider in Clinton Township, Michigan, licensed in Michigan (5601004431) and active in the NPI registry since May 2006. She maintains a secondary practice location in Warren.

NPPES Registry Identity

NPI1154371409
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON WASMUNDCredential: PA
Location Address15855 19 MILE RDClinton Township, MI 48038-3504
Mailing Address15855 19 Mile RdClinton Township, MI 48038-3504 · (586) 263-5446
Phone(586) 263-5446
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1154371409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601004431
15855 19 MILE RD, Clinton Township, MI 48038
Open in Google Maps ↗

Secondary Practice Location 1

Location 113355 E 10 Mile RdWarren, MI 48089-2048 · Phone (586) 759-7498

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LEEANN WICKENS P.A.
Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 203-1940
CYNTHIA GEE D.O.
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (701) 340-2053
SARAH E NELSON
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (313) 623-7602
MS. KARA NICOLE SZCZOMAK PA-C
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2601
EMILY SOPEL
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2300
ANTONIO MACERI MD
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2300
HENRY FORD MACOMB HOSPITAL CORPORATION
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (568) 263-2705
JEFFREY A BERG CRNA
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Wasmund's NPI number?

The NPI number for Shannon Wasmund is 1154371409. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Shannon Wasmund located?

Shannon Wasmund practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-5446.

What is Shannon Wasmund's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Shannon Wasmund was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.