Individual
GREGORY DAVID SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1650 HASLETT RD, HASLETT, MI 48840-8438
(517) 339-3200
(517) 339-4320
Mailing address
PO BOX 40, HASLETT, MI 48840-0040
(517) 230-9502
(517) 339-4320
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
GS050232
MI
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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