Individual
SHANE JERALD VLCEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703
(715) 838-5222
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(715) 838-5222
(507) 284-0702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4812
WI
Other
Enumeration date
09/20/2010
Last updated
05/06/2026
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