Individual
NEIL A SHEPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 MARKET LN, KENOSHA, WI 53144-3430
(262) 551-4600
(262) 551-4630
Mailing address
3400 MARKET LN, KENOSHA, WI 53144-3430
(262) 551-4600
(262) 551-4630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26486
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080149504
MEDICARE RR
WI
05
—
30604500
—
WI
Enumeration date
07/10/2006
Last updated
01/22/2018
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