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Dr. Dale Roger Shampo, MD
Diagnostic Radiology Physician in Iron Mountain, Michigan
NPI 1124107917

Dale Roger Shampo is a Diagnostic Radiology Physician based in Iron Mountain, MI and is specialized in Diagnostic Radiology. Dale Roger Shampo practices in Iron Mountain, MI and has the professional credentials of MD. The NPI Number for Dale Roger Shampo is 1124107917 and holds a License No. 4301029974 (Michigan).

The current practice location address for Dale Roger Shampo is 1721 S Stephenson Ave, Iron Mountain, MI and can be reached out via phone at 906-774-1313.

Location: 1721 S Stephenson Ave, Iron Mountain, MI, 49801-3637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124107917
Provider Name
Dale Roger Shampo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1721 S Stephenson Ave, Iron Mountain, MI, 49801-3637
Phone Number
906-774-1313
Fax Number
Provider Enumeration Date
11/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30436700 05 WI
1386409 01 MI MOLINA
1386409 05 MI
institution
Provider Business Practice Location Address Details
Address
1721 S Stephenson Ave
City
Iron Mountain
State
Michigan
Zip
49801-3637
Phone Number
906-774-1313
Fax Number
person
Provider Business Mailing Address Details
Address
1721 S Stephenson Ave
City
Iron Mountain
State
Michigan
Zip
49801-3637
Phone Number
906-774-1313
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301029974 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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