Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Dale Roger Shampo, MD

Individual provider Diagnostic Radiology Physician · NPI 1124107917

Dr. Dale Roger Shampo, MD is a Diagnostic Radiology Physician in Iron Mountain, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637
Phone: (906) 774-1313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301029974 (MI)

Record details

NPI number1124107917
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 3, 2006
Last updated in NPPESJuly 8, 2007

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