person
Michael Shannon Roscoe, PA
Medical Physician Assistant in Lafayette, Indiana
NPI 1548283823

Michael Shannon Roscoe is a Medical Physician Assistant based in Indianapolis, IN and is specialized in Medical. Michael Shannon Roscoe practices in Lafayette, IN and has the professional credentials of PA. The NPI Number for Michael Shannon Roscoe is 1548283823 and holds a License No. 10000397A (Indiana).

The current practice location address for Michael Shannon Roscoe is 5165 Mccarty Ln, Lafayette, IN and can be reached out via phone at 765-838-5100.

Location: 5165 Mccarty Ln, Lafayette, IN, 46208-3602
person
Provider Profile Details
NPI Number
1548283823
Provider Name
Michael Shannon Roscoe
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5165 Mccarty Ln, Lafayette, IN, 46208-3602
Phone Number
765-838-5100
Fax Number
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5165 Mccarty Ln
City
State
Zip
47905-8764
Phone Number
765-838-5100
Fax Number
person
Provider Business Mailing Address Details
Address
5165 Mccarty Ln
City
State
Zip
47905-8764
Phone Number
765-838-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10000397A (Indiana)
Definition
Definition to come...
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