Jeremiah J Shaw, MD

NPI #1619439403 in Monona, Wisconsin

Provider Information

NPI Number: 1619439403
Entity Type: Individual
Name: Jeremiah J Shaw, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 2, 2019
Last Updated: Dec 5, 2024

Practice Location

Address: 1050 E BROADWAY
City: Monona
State: Wisconsin
ZIP Code: 53716-4023
Phone: (608) 287-5899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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