| Doctor Name: | DR. JILL LOUISE SHINK |
| NPI Number: | 1023074523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 5901001781 |
| Business Practice Address: | 3801 Wilder Rd Suite 2 Bay City, MI - 487062301 |
| Business Phone Number: | 9896674663 |
| Business Fax Number: | 9896671964 |
| Mailing Address: | 3801 Wilder Rd, BAY CITY |
| State: | MI |
| Postal Code: | 487062301 |
| Phone Number: | 9896674663 |
| Fax Number: | 9896671964 |
| NPI Enumeration Date: | 04/24/2006 |
| NPI Last Update Date: | 08/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | 5901001781 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |