Individual
SHANNON ALAN ENGEL
Active
Individual
SHANNON ALAN ENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00777
IA
213ES0131X
Foot Surgery Podiatrist
Primary
2010024608
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649220302
—
MO
05
—
200671880A
—
KS
05
—
30004069120004
—
KS
05
—
304286206
—
MO
01
—
37479
WELLMARK
IA
Enumeration date
05/11/2006
Last updated
04/08/2026
Update your record
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