Individual
SHANA L VIFIAN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2116 CRAIG RD, EAU CLAIRE, WI 54701-6149
(715) 858-4500
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
36723
IA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
51613
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35322200
—
WI
Enumeration date
05/21/2007
Last updated
11/17/2023
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