Individual
SHANNON C POLLOCK
Active
Individual
SHANNON C POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
73197
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376963694
—
WI
Enumeration date
04/25/2014
Last updated
06/13/2023
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