Individual
SHAE M WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
664-039
WI
363A00000X
Physician Assistant
Primary
2741-23
WI
Other
Enumeration date
12/06/2007
Last updated
04/09/2015
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