Individual
MR. SHANE MICHAEL TENDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 447-2000
Mailing address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 447-2000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
101208
WI
Other
Enumeration date
04/15/2024
Last updated
07/31/2025
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