Individual
MICHAEL H SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2555 MARVIN RD NE, PMG SW WA OLYMPIA ENDOCRINE, LACEY, WA 98516-3138
(360) 413-4250
(360) 413-4256
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(360) 486-6508
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD00042625
WA
Other
Enumeration date
08/30/2006
Last updated
04/14/2015
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