| Shana Lynn Radomski, MPT, DO | |
| 
					5900 Byron Center Ave Sw, Wyoming, MI 49519-9606  | |
| (616) 252-5790 | |
| Not Available | 
| Full Name | Shana Lynn Radomski | 
|---|---|
| Gender | Female | 
| Speciality | Psychiatry & Neurology - Neurology | 
| Location | 5900 Byron Center Ave Sw, Wyoming, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962931865 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 2022-02097 (North Carolina) | Secondary | 
| 2084N0400X | Psychiatry & Neurology - Neurology | 5101023264 (Michigan) | Primary | 
| Entity Name | Metropolitan Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Shana Lynn Radomski, MPT, DO 1091 Bielby St, Waterford, MI 48328-1301 Ph: () -  | Shana Lynn Radomski, MPT, DO 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: (616) 252-5790  | 
Rudolph Obo Addy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2093 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-5760  | |
Oskar Amadeusz Wielgus, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2093 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-7264  | |
Dr. Fazeel Mukhtar Siddiqui, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200  | |
Paul G Wasielewski, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2122 Health Drive Sw, Wyoming, MI 49519 Phone: 616-252-5790 Fax: 616-252-5793  | |
Christine Elizabeth Larkin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2215 44th St Sw, Wyoming, MI 49519 Phone: 616-252-4560  | |
Jordan Taylor, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2122 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-5790 Fax: 616-252-5793  | |
Aubrey Marie Kuehnel, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2093 Health Dr Sw Ste 302, Wyoming, MI 49519 Phone: 616-252-7264  |