NPI 1003475765

Alexander Michael Shannon, DO

Practitioner Urology Physician Grand Rapids, MI

Practice location

Address: 1900 Wealthy St SE STE 100, Grand Rapids, MI 49506-2969
Phone: (616) 267-7333
Mailing address: 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 5151013433 (MI)

Other Urology providers in Michigan →

Registry record

NPI: 1003475765
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2019
Record last updated: 6 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.