Individual
MR. MICHAEL E SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 THOMPSON ST, BLOOMER, WI 54724-1257
(715) 838-5222
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2219
WI
363AM0700X
Medical Physician Assistant
2219-23
WI
Other
Enumeration date
11/04/2005
Last updated
02/01/2021
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