IndividualActive
Shannon Radgens, D.O.
NPI 1316051949 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Owosso, MI
Provider details
- NPI number
- 1316051949
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5101013241 (MI)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 5101013241 (MI)
Allopathic & Osteopathic Physicians
Practice location
818 W King St
Suite 301
Owosso, MI 48867-2116
Phone: (989) 729-4800
Fax: (989) 729-4810
Approximate (ZIP-level) locationGet directions
Mailing address
818 W King St
Owosso, MI 48867-2116
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2013-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.