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Individual

JEFFREY SHEPICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12961 27TH AVE, CHIPPEWA FALLS, WI 54729-5699
(715) 738-3700
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
(715) 387-5511

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39155
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32514500
WI
Enumeration date
10/04/2006
Last updated
09/29/2009
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