Tara M Shaw PA-C

NPI 1912127382 - Physician Assistant - 363AM0700X

NPI Details
NPI 1912127382
Gender Female
Enumeration Date 04/26/2007
Last Updated 12/01/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
225 CHURCH ST
DEAN CLINIC
STOUGHTON WI, 53589-1801, US
Phone (608) 877-2700
Fax (608) 877-2726
Business Location
225 CHURCH ST
DEAN CLINIC
STOUGHTON WI, 53589-1801, US
Phone (608) 877-2700
Fax (608) 877-2726
Toxanomy
Taxonomy Code 363AM0700X
License State Wisconsin
License Number 2137-023
Remove 1912127382 NPI Number
 

According to our database, Tara M Shaw PA-C NPI is 1912127382, taxonomy code is 363AM0700X and license number is 2137-023, license state is located at Wisconsin. Tara M Shaw PA-C physically located at 225 Church St, Stoughton WI, 53589-1801. NPI Number Tara M Shaw PA-C has the Individual type.

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1912127382 NPI number is provided on an as is basis without warranty of any kind. 1912127382 is maintained by the National Plan & Provider Enumeration System. The contents of Tara M Shaw PA-C are for informational purposes only.