Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN SHAYNE FANNING, MD
ActiveJUSTIN SHAYNE FANNING, MD is a Thoracic Surgery (Cardiothoracic Vascular) healthcare provider located in GRAND RAPIDS, Michigan. NPI 1700908522 is currently active in the NPPES registry. Verify at CMS.
Thoracic Surgery (Cardiothoracic Vascular) · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1700908522
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2007 (19.401559846274 yrs)
- Last Updated
- Mar 14, 2022
- License
-
4301074884 (MI)
Practice Information
- Address
-
221 MICHIGAN ST NE STE 300GRAND RAPIDS, MI, 495032537Browse MI providers · Browse ZIP 49503
- Phone
- 6164597258
- Fax
- 6164595215
- Primary Specialty
-
Thoracic Surgery (Cardiothoracic Vascular)
208G00000X
Other Thoracic Surgery (Cardiothoracic Vascular) Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| NEAL D HILLMAN | MD | 1073583126 |
| OSAMA ELTAYEB | M.D. | 1336111681 |
| DR. LAWRENCE H PATZELT | MD | 1780656520 |
| EDWARD T MURPHY | MD | 1124090808 |
| CHARLES L WILLEKES | MD | 1801868583 |
| ROBERT LOUIS HOOKER JR. | MD | 1265405765 |
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.