SHANNON SHAN JOSEPH

TROY, MI
NPI1396060224
Former NameSHANNON SHAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery
(Licence: MI  4301104534)
Additional Taxonomies207W00000X Ophthalmology
(Licence: MD  D81623)
207W00000X Ophthalmology
(Licence: MI  4301104534)
Enumeration Date2010-04-04
Last Update Date2022-07-20
Business Address
SHANNON SHAN JOSEPH M.D.
3940 JOHN R RD
TROY, MI 48083-5688
Phone number: 248-455-4169
Mailing Address
SHANNON SHAN JOSEPH M.D.
3940 JOHN R RD
TROY, MI 48083-5688
Phone number: 947-217-3223