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Individual

DR. SHANNON M ANKROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0116021552
VA
208600000X
Surgery Physician
169121
DC
208600000X
Surgery Physician
Primary
35.098458
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0113014
OH
Enumeration date
05/12/2009
Last updated
03/10/2026
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