Individual
DR. SHAUN S SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3447
Mailing address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3444
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
66519-20
WI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
66519-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134483183
—
WI
Enumeration date
06/25/2012
Last updated
10/14/2025
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