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

Prince Tyro Shannon

Individual provider Case Manager/Care Coordinator · NPI 1467016584

Prince Tyro Shannon is a Case Manager/Care Coordinator in Redford, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

9315 Telegraph Rd
Redford, MI 48239-1260
Phone: (248) 513-5760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 175T00000X-PEER (MI)

Record details

NPI number1467016584
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2019
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address9315 Telegraph Rd, Redford, MI 48239-1260

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