Individual
SHELLEY D PIASECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
751 COUNTY ROAD K, FOND DU LAC, WI 54937-6007
(920) 929-6716
Mailing address
610 RIVERFRONT DRIVE, SHEBOYGAN, SHEBOYGAN, WI 53083-1679
(920) 457-5703
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43695-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14823
NETWORK HEALTH PLAN
—
05
—
34522500
—
WI
Enumeration date
07/25/2006
Last updated
07/21/2014
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