Organization
NANCY J SHANNON MD PHD PLLC
Active
Other names
Advanced Health & Image
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY J SHANNON MD, PHD (OWNER)
(517) 339-4107
Entity
Organization
Contact information
Practice address
1650 HASLETT RD, HASLETT, MI 48840-8438
(517) 339-4107
(517) 339-4322
Mailing address
6150 SHOEMAN RD, HASLETT, MI 48840-9110
(517) 339-4107
(517) 339-4322
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
NS073455
MI
Other
Enumeration date
11/05/2006
Last updated
08/22/2020
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