Provider Demographics
NPI:1922540756
Name:FLOWERS, MICHAEL SHANNON (PA-C)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:SHANNON
Last Name:FLOWERS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 POND ROAD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2253
Mailing Address - Country:US
Mailing Address - Phone:610-395-4444
Mailing Address - Fax:610-366-7886
Practice Address - Street 1:1517 POND ROAD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2253
Practice Address - Country:US
Practice Address - Phone:610-395-4444
Practice Address - Fax:610-366-7886
Is Sole Proprietor?:No
Enumeration Date:2016-11-10
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA058592363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical