Individual
SHANNON DELORES FAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 647-5299
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
4301513715
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301115213
MI
Other
Enumeration date
05/31/2018
Last updated
09/04/2025
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