Individual
SHAYE DOSTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4824 GREEN BAY RD, KENOSHA, WI 53144-1789
(262) 299-6199
Mailing address
4824 GREEN BAY RD, KENOSHA, WI 53144-1789
(262) 299-6199
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
870923
WI
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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