Shell Lake Clinic, Ltd
NPI #1083722805 in Shell Lake, Wisconsin
Provider Information
- NPI Number
- 1083722805
- Entity Type
- Organization
- Organization Name
- Shell Lake Clinic, Ltd
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Oct 23, 2008
Practice Location
- Address
- 105 4TH AVE
- City
- Shell Lake
- State
- Wisconsin
- ZIP Code
- 54871-0336
- Phone
- (715) 468-2711
Authorized Official
- Name
- DR. JEFFREY L DUNHAM, MD
- Title
- PRESIDENT
- Phone
- (715) 468-2711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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