Individual
SHAUN IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 N MEADE ST, DEPT. OF ANESTHESIA, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
61624
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154687598
—
WI
Enumeration date
04/10/2012
Last updated
06/08/2016
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