Individual
DR. SHALANE GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
201 SHERMAN AVE W, FORT ATKINSON, WI 53538-1734
(920) 563-7323
Mailing address
632 MARTHA ST, EDGERTON, WI 53534-2128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002118-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2019
Last updated
02/17/2025
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