Individual
SHANNON J GRAEWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5150 N PORT WASHINGTON ROAD, SUITE 151, MILWAUKEE, WI 53217-5453
(414) 332-1000
(414) 332-1005
Mailing address
5150 N PORT WASHINGTON ROAD, SUITE 151, MILWAUKEE, WI 53217-5453
(414) 332-1000
(414) 332-1005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45794
WI
208600000X
Surgery Physician
45794-020
WI
Other
Enumeration date
10/25/2006
Last updated
11/10/2010
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