Individual
SHANNAN L VANDEHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA
Contact information
Practice address
1818 N MEADE ST, SUITE 240 WEST, APPLETON, WI 54911-3454
(920) 731-8289
(920) 832-0444
Mailing address
1818 N MEADE ST, SUITE 240 WEST, APPLETON, WI 54911-3454
(920) 731-8289
(920) 832-0444
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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