Ryan Michael Shannon, PA

NPI #1891263406 in Mount Pleasant, Michigan

Provider Information

NPI Number: 1891263406
Entity Type: Individual
Name: Ryan Michael Shannon, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 13, 2018
Last Updated: Nov 8, 2019

Practice Location

Address: 1280 E CAMPUS DR
City: Mount Pleasant
State: Michigan
ZIP Code: 48858-3803
Phone: (989) 774-2478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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