Individual
KEITH ALAN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 DELHI ST, STE 200, DUBUQUE, IA 52001-6314
(563) 557-7000
(563) 589-4050
Mailing address
1515 DELHI ST, STE 200, DUBUQUE, IA 52001-6314
(563) 557-7000
(563) 589-4050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22393
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184580
—
IA
05
—
30508300
—
WI
Enumeration date
01/18/2006
Last updated
10/14/2020
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