Justin Shayne Fanning MD

  • NPI 1700908522
According to our database, the NPI number for Justin Shayne Fanning MD is 1700908522 and activated since 17 years ago. Justin Shayne Fanning MD is an individual provider who specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery), and the primary practice location is 100 Michigan St Ne, Grand Rapids, MI 49503. You can also contact Justin Shayne Fanning MD via telephone number is (616) 459-7258. Provider NPI information was last updated on 03/08/2021.

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Overview of Justin Shayne Fanning MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/04/2007
  • Last updated: 03/08/2021

Primary Scrop of Practice

  • Taxonomy Code: 208G00000X
  • Specialty: Thoracic Surgery (Cardiothoracic Vascular Surgery)
  • License Number: 4301074884
  • License State: MI

Provider Mailing Address

  • Address: 100 Michigan St Ne
    Mc 845
    Grand Rapids, MI 49503
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 100 Michigan St Ne
    Suite 8830
    Grand Rapids, MI 49503
  • Phone: 616-459-7258
  • Fax: 616-459-5215

Scope of Practice

  • Taxonomy Code: 208G00000X
  • Specialty: Thoracic Surgery (Cardiothoracic Vascular Surgery)
  • License Number: 4301074884
  • License State: MI
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Justin Shayne Fanning MD?
  • A: The npi number for Justin Shayne Fanning MD is 1700908522.
  • Q: What are Justin Shayne Fanning MD's specialties?
  • A: Justin Shayne Fanning MD's specialties are Thoracic Surgery (Cardiothoracic Vascular Surgery) and different specialities.
  • Q: What is the medical license for Justin Shayne Fanning MD?
  • A: The medical license number for Justin Shayne Fanning MD is 4301074884 and issued in MI in USA.
  • Q: Where is Justin Shayne Fanning MD practice location?
  • A: Justin Shayne Fanning MD is practicing at 100 Michigan St Ne, Grand Rapids, MI 49503.
  • Q: How to contact Justin Shayne Fanning MD?
  • A: You can contact Justin Shayne Fanning MD via 616-459-7258.