Individual
SHANNON JANELL MEDDAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 OAK AVE, MARSHFIELD, WI 54449-5444
(800) 782-8581
Mailing address
9610 STADT RD, MARSHFIELD, WI 54449-9083
(715) 240-0818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8854
WI
363LF0000X
Family Nurse Practitioner
Primary
8854
WI
Other
Enumeration date
11/29/2018
Last updated
04/03/2025
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