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1750709119
SHANE T MALLON
ANN ARBOR, MI
NPI
1750709119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 4301105443)
Enumeration Date
2014-04-02
Last Update Date
2020-06-16
Business Address
SHANE T MALLON MD
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-4000
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Mailing Address
SHANE T MALLON MD
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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