Individual provider · Type 1 NPI
Shannon Dale Armstrong, MD
Plastic and Reconstructive Surgery Physician · Grand Rapids, MI
NPI number
1780891176
Active
Practice location
245 Cherry Street S.e., Suite 302
Grand Rapids, MI 49503-4607
Fax (616) 459-6030
Mailing address
245 Cherry Street, Suite 302
Grand Rapids, MI 49503-4607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 4301088227 (MI) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 4301088227 (MI) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1780891176
Shannon Dale Armstrong, MD's National Provider Identifier is 1780891176, issued on May 17, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 16, 2012.