Organization
RED CEDAR EAR NOSE THROAT & AUDIOLOGY P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON T RADGENS DO (OWNER)
(989) 729-4800
Entity
Organization
Contact information
Practice address
818 W KING ST, SUITE 301, OWOSSO, MI 48867-2116
(989) 729-4800
(989) 729-4810
Mailing address
818 W KING ST, SUITE 301, OWOSSO, MI 48867-2116
(989) 729-4800
(989) 729-4810
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5101013241
MI
Other
Enumeration date
03/04/2008
Last updated
10/21/2008
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