Provider Demographics
NPI:1295051662
Name:CONNOLE, SHANNON MICHELLE (DO)
Entity type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:MICHELLE
Last Name:CONNOLE
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Gender:F
Credentials:DO
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Mailing Address - Street 1:5855 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-2269
Mailing Address - Country:US
Mailing Address - Phone:419-824-7469
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:660 BEAVER CREEK CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1745
Practice Address - Country:US
Practice Address - Phone:419-891-6201
Practice Address - Fax:419-893-1227
Is Sole Proprietor?:No
Enumeration Date:2010-04-10
Last Update Date:2023-11-03
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Provider Licenses
StateLicense IDTaxonomies
OH34011453207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology