Individual
DR. SHANE M DURKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(608) 755-7960
Mailing address
849 KELLOGG AVE, JANESVILLE, WI 53546-2808
(608) 755-7960
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.204989
LA
207Q00000X
Family Medicine Physician
Primary
49764
WI
Other
Enumeration date
10/27/2006
Last updated
04/14/2015
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