Individual
DR. SHAWYON SHADMAN
Active
Individual
DR. SHAWYON SHADMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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