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Alexander Shannon, DO — NPI 1003475765, Grand Rapids, MI | NPI Central

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Alexander Shannon, DO

NPI 1003475765 · Urology Physician · Grand Rapids, MI

Provider details

NPI number: 1003475765
Entity type: Individual
Primary specialty: Urology PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: No
License: 5151013433 (MI)

Practice location

1900 Wealthy St Se Ste 100

Grand Rapids, MI 49506-2969

Phone: (616) 267-7333

More MI providers

Mailing address

100 Michigan St Ne # Mc845

Grand Rapids, MI 49503-2560

Registry dates

Enumerated: 2019-06-06
Last updated: 2024-08-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.