MICHAEL SHAWN FANNON

MECHANICSVILLE, VA
NPI1487602876
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: VA  0101057920)
Enumeration Date2006-05-05
Last Update Date2014-01-09
Business Address
Dr. MICHAEL SHAWN FANNON MD
8260 ATLEE RD
MECHANICSVILLE, VA 23116-1844
Phone number: 804-764-6611
Mailing Address
Dr. MICHAEL SHAWN FANNON MD
38935 ANN ARBOR RD CREDENTIALING DEPT
LIVONIA, MI 48150-3397
Phone number: 734-805-0488
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