Individual
SHANNON DALE ARMSTRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
245 CHERRY STREET S.E., SUITE 302, GRAND RAPIDS, MI 49503-4607
(616) 459-4131
(616) 459-6030
Mailing address
245 CHERRY STREET, SUITE 302, GRAND RAPIDS, MI 49503-4607
(616) 459-4131
(616) 459-6030
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301088227
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301088227
MI
Other
Enumeration date
05/17/2007
Last updated
08/16/2012
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