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Individual
SHI LUO
Active
Individual
SHI LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-18973
AR
208M00000X
Hospitalist Physician
Primary
82152-21
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100424468
—
WI
Enumeration date
03/18/2022
Last updated
09/03/2026
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