Ellen Pauline Shen, D.O.

NPI #1114227626 in Mequon, Wisconsin

Provider Information

NPI Number: 1114227626
Entity Type: Individual
Name: Ellen Pauline Shen, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: D.O.
Enumeration Date: Oct 31, 2010
Last Updated: Jul 23, 2013

Practice Location

Address: 10532 N PORT WASHINGTON RD
Address 2: SUITE 1A
City: Mequon
State: Wisconsin
ZIP Code: 53092-5563
Phone: (262) 240-9744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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