Individual
RICHARD J SHIMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E WISCONSIN AVE, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39859-020
WI
207P00000X
Emergency Medicine Physician
39859-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32432900
—
WI
01
—
930061151
MEDICARE RAILROAD
WI
01
—
930061153
MEDICARE RAILROAD
WI
01
—
930126089
MEDICARE RAILROAD
WI
Enumeration date
06/29/2006
Last updated
12/23/2021
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