SHANE T MALLON

ANN ARBOR, MI
NPI1750709119
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301105443)
Enumeration Date2014-04-02
Last Update Date2020-06-16
Business Address
SHANE T MALLON MD
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109-5000
Phone number: 734-936-4000
Mailing Address
SHANE T MALLON MD
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299