Individual
DR. SHAWN ALLEN BELVERUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
66526
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073817268
—
WI
Enumeration date
01/02/2011
Last updated
09/02/2021
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