Dr Dale Roger Shampo, MD in Iron Mountain, MI - Radiology

Dr Dale Roger Shampo, MD is a Radiology - Diagnostic Radiology physician based in Iron Mountain, Michigan. Dr Dale Roger Shampo is licensed to practice in Michigan (license number 4301029974) and his current practice location is 1721 S Stephenson Ave, Iron Mountain, Michigan. He can be reached at his office (for appointments etc.) via phone at (906) 774-1313.

NPI number for Dr Dale Roger Shampo is 1124107917 and his current mailing address is 1721 S Stephenson Ave, Iron Mountain, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124107917.

Contact Information

	Dr Dale Roger Shampo, MD
	1721 S Stephenson Ave, Iron Mountain, MI 49801-3637
	(906) 774-1313
	Not Available

Physician's Profile

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.

NPI Data:

NPI Number: 1124107917
Provider Enumeration Date: 11/03/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Dale Roger Shampo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124107917	NPI	-	NPPES
30436700	Medicaid	WI
1386409	Other	MI	MOLINA
1386409	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4301029974 (Michigan)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Dale Roger Shampo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

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Radiology Doctors in Iron Mountain, MI

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

Dr Dale Roger Shampo, MD - Radiology in Iron Mountain, MI