Individual
MS. SHARI MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
1935 W SILVER SPRING DR, UNIT 4, MILWAUKEE, WI 53209-4445
(414) 464-6610
Mailing address
4734 N 21ST ST, MILWAUKEE, WI 53209-6333
(414) 464-6610
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
95989-82
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811932834
TAX ID
WI
Enumeration date
03/23/2016
Last updated
03/23/2016
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