Dr SHANNON LYN BONGERS MD is a female medical professional, specializing in General Surgery. She graduated in 1989 from Wayne State University School Of Medicine.
BEAUMONT MEDICAL GROUP SPECIALTY SERVICES
3601 W 13 MILE RD BCC
BEAUMONT BREAST CARE CENTER
ROYAL OAK
MI
480736712
Tel: 2485513300
| Npi | 1104826031 |
| Pac Id | 7416965074 |
| Professional Enrollment Id | I20060323000727 |
| Last Name | BONGERS |
| First Name | SHANNON |
| Middle Name | LYN |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | GENERAL SURGERY |
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| Organization Legal Name | BEAUMONT MEDICAL GROUP SPECIALTY SERVICES |
| Group Practice Pac Id | 7214299866 |
| Number Of Group Practice Members | 599 |
| Line 1 Street Address | 3601 W 13 MILE RD BCC |
| Line 2 Street Address | BEAUMONT BREAST CARE CENTER |
| Marker Of Address Line 2 Suppression | |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 480736712 |
| Phone Number | 2485513300 |
| Hospital Affiliation Ccn 1 | 230130 |
| Hospital Affiliation Lbn 1 | BEAUMONT HOSPITAL, ROYAL OAK |
| Hospital Affiliation Ccn 2 | 230269 |
| Hospital Affiliation Lbn 2 | BEAUMONT HOSPITAL, TROY |
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| Professional Accepts Medicare Assignment | Y |
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