| Dr Dale Roger Shampo, MD | |
|
1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | |
| (906) 774-1313 | |
| Not Available |
| Full Name | Dr Dale Roger Shampo |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1721 S Stephenson Ave, Iron Mountain, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124107917 | NPI | - | NPPES |
| 30436700 | Medicaid | WI | |
| 1386409 | Other | MI | MOLINA |
| 1386409 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301029974 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dale Roger Shampo, MD 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 Ph: (906) 774-1313 | Dr Dale Roger Shampo, MD 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 Ph: (906) 774-1313 |
Mr. Bayani Loy Manzano, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-776-5565 | |
Dr. David Donald Timm, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-774-1313 | |
Mr. Louis Joseph Mautone, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-776-5565 | |
Mr. John Stuart To, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-776-5565 | |
Robyne D Camana, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-776-5565 | |
Mrs. Emma Cristina Diponio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1115 S Hemlock St, Suite 3, Iron Mountain, MI 49801 Phone: 906-282-8500 Fax: 906-282-8500 |