Individual
DR. SOPHIE GRACE SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 266-6460
(414) 266-2693
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-6460
(414) 266-2693
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
69318
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235497181
—
WI
Enumeration date
04/29/2012
Last updated
03/13/2024
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