Individual
MARY BETH SHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 N DEWEY AVE, REEDSBURG, WI 53959-2214
(608) 524-6477
(608) 524-8305
Mailing address
1900 N DEWEY AVENUE, REEDSBURG, WI 53959
(608) 524-6477
(608) 524-8305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51006
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036067267
—
IL
05
—
34965000
—
WI
Enumeration date
05/05/2006
Last updated
03/23/2010
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