Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANNON THOMAS RADGENS, D.O.
Active Sole ProprietorDR. SHANNON THOMAS RADGENS, D.O. is a Plastic Surgery within the Head & Neck healthcare provider located in OWOSSO, Michigan. NPI 1316051949 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · OWOSSO, MI
Registration Details
- NPI Number
- 1316051949
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 19, 2006 (20.008325728207 yrs)
- Last Updated
- Feb 14, 2013
- License
-
5101013241 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
818 W KING STSUITE 301OWOSSO, MI, 488672116Browse MI providers · Browse ZIP 48867
- Phone
- 9897294800
- Fax
- 9897294810
- Primary Specialty
-
Plastic Surgery within the Head & Neck
207YX0007X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.