Individual
JENNIFER R SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N 8TH ST, MOUNT HOREB, WI 53572
(608) 437-3064
(608) 437-4542
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64529-20
WI
Other
Enumeration date
07/03/2012
Last updated
01/13/2021
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