Kathleen A Shallow MD

NPI 1063433837 - Emergency Medicine - 207P00000X

NPI Details
NPI 1063433837
Gender Female
Enumeration Date 07/21/2006
Last Updated 02/22/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2400 W VILLARD AVE
MILWAUKEE WI, 53209-4901, US
Phone (414) 527-8728
Fax
Business Location
9875 S FRANKLIN DR
FRANKLIN WI, 53132, US
Phone (414) 858-2206
Fax (414) 858-2236
Toxanomy
Taxonomy Code 207P00000X
License State Wisconsin
License Number 35968-020
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According to our database, Dr. Kathleen A Shallow MD NPI is 1063433837, taxonomy code is 207P00000X and license number is 35968-020, license state is located at Wisconsin. Kathleen A Shallow MD physically located at 2400 W Villard Ave, Milwaukee WI, 53209-4901. NPI Number Kathleen A Shallow MD has the Individual type.

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1063433837 NPI number is provided on an as is basis without warranty of any kind. 1063433837 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen A Shallow MD are for informational purposes only.