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Individual
SHAWN THOMAS SEDGWICK
Active
Individual
SHAWN THOMAS SEDGWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38787-020
WI
207Q00000X
Family Medicine Physician
5163
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001063025
MEDICARE
WI
01
—
005300461
MEDICARE
WI
05
—
32362200
—
WI
01
—
38787-020
STATE OF WISCONSIN LICENSE
WI
01
—
5163
AK STATE LICENSE
AK
05
—
MD9374
—
AK
Enumeration date
12/15/2005
Last updated
02/02/2026
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