Individual
SHANNON M FRIEDBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5000 W NATIONAL AVE RM 3100, MILWAUKEE, WI 53295-3462
(414) 384-2000
(414) 382-5269
Mailing address
5000 W NATIONAL AVE RM 3100, MILWAUKEE, WI 53295-3462
(414) 384-2000
(414) 382-5269
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
71892-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2018
Last updated
02/28/2023
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