Individual
DR. SHAWYON SHADMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 826-2710
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 826-2710
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2003010388
MO
2085R0202X
Diagnostic Radiology Physician
Primary
51610-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35185600
—
WI
Enumeration date
09/17/2006
Last updated
09/16/2014
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