Individual
DR. JOHN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(507) 269-9042
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
76313-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
04/10/2025
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