Individual
DENNIS W SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
(262) 518-5052
Mailing address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
(262) 518-5052
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32377-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346279940
—
WI
05
—
31921600
—
WI
01
—
3938107579
TRICARE NORTH REGION
—
01
—
930044455
MEDICARE RAILROAD
WI
01
—
930068401
MEDICARE RAILROAD
WI
01
—
930075118
MEDICARE RAILROAD
WI
Enumeration date
07/03/2006
Last updated
08/02/2019
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