Dr. Shannon Thomas Radgens
Plastic Surgeon (Head & Neck)
818 W King St Suite 301
Owosso
, Michigan 48867-2116
Dr. Shannon Thomas Radgens
Plastic Surgeon (Head & Neck)
818 W King St Suite 301
Owosso
, Michigan 48867-2116
(989) 729-4810
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Shannon Thomas Radgens
- 818 W King St Suite 301
- Owosso, MI
- Zip : 48867-2116
- Fax : (989) 729-4810
- Phone : (989) 729-4800
Second Address
- Dr. Shannon Thomas Radgens
- 818 W King St Suite 301
- Owosso, MI
- Zip : 48867-2116
- Fax : (989) 729-4810
- Phone : (989) 729-4800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 5101013241 | MI |
National Provider Identifier
| NPI | 1316051949 |
|---|---|
| Provider Name | Dr. Shannon Thomas Radgens |
| First Address | Owosso, MI 48867-2116 |
| Second Address | Owosso, MI 48867-2116 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2006 |
| Last Update Date | 14/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4616511 | (05) | MI |
| H48637 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.