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1649218454
MICHAEL J SHANNON
CHEYENNE, WY
NPI
1649218454
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WY 7800A)
Enumeration Date
2006-06-03
Last Update Date
2022-12-20
Business Address
MICHAEL J SHANNON MD
4017 RAWLINS ST
CHEYENNE, WY 82001-1800
Phone number: 307-635-2562
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Mailing Address
MICHAEL J SHANNON MD
PO BOX 20970
CHEYENNE, WY 82003-7020
Phone number: 307-635-2562
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