SHANNON R STOCKWELL

AVALON CONSULTANTS PLLC

Dr SHANNON R STOCKWELL is a female medical professional, specializing in Physician Assistant. She graduated in 2012.

Contact

AVALON CONSULTANTS PLLC

21800 HAGGERTY RD
SUITE 113
NORTHVILLE
MI
481679051

Tel: 8888823783

SHANNON R STOCKWELL Information

Npi 1306190368
Pac Id 7416109582
Professional Enrollment Id I20121219000068
Last Name STOCKWELL
First Name SHANNON
Middle Name R
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AVALON CONSULTANTS PLLC
Group Practice Pac Id 3072736511
Number Of Group Practice Members 4
Line 1 Street Address 21800 HAGGERTY RD
Line 2 Street Address SUITE 113
Marker Of Address Line 2 Suppression
City NORTHVILLE
State MI
Zip Code 481679051
Phone Number 8888823783
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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