Individual provider · Type 1 NPI

Connie Shao

Colon & Rectal Surgery Physician · Grand Rapids, MI

NPI number 1356848865 Active

Practice location

4100 Lake Dr SE
Grand Rapids, MI 49546-8292

Call (616) 267-7100 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Colon & Rectal Surgery Physician Primary 208C00000X4301516933 (MI)

Colon & Rectal Surgery Physician: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

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About NPI 1356848865

Connie Shao's National Provider Identifier is 1356848865, issued on Apr 11, 2018. The primary taxonomy on file is Colon & Rectal Surgery Physician (208C00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 31, 2026.