Individual
MATTHEW MCSHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 735-7620
(920) 735-7816
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 735-7620
(920) 735-7816
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036141918
IL
208M00000X
Hospitalist Physician
036141918
IL
208M00000X
Hospitalist Physician
Primary
929
WI
Other
Enumeration date
04/14/2014
Last updated
11/24/2020
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