Individual
SHELLY WENZEL REIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1789 SHAWANO AVE, GREEN BAY, WI 54303-3243
(920) 499-1428
Mailing address
1789 SHAWANO AVE, GREEN BAY, WI 54303-3243
(920) 499-1428
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
68174
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306200886
—
WI
Enumeration date
04/11/2016
Last updated
05/29/2025
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