MICHAEL SHANNON ROSCOE

LAFAYETTE, IN
NPI1548283823
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IN  10000397A)
Enumeration Date2006-07-26
Last Update Date2014-01-18
Business Address
-- MICHAEL SHANNON ROSCOE PA
5165 MCCARTY LN
LAFAYETTE, IN 47905-8764
Phone number: 765-838-5100
Mailing Address
-- MICHAEL SHANNON ROSCOE PA
308 W 46TH ST
INDIANAPOLIS, IN 46208-3602
Phone number: 317-940-6026
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