Individual
DR. JAMES E SHANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 GEORGE TOWNE DR, PEWAUKEE, WI 53072-2731
(262) 691-3849
(262) 691-4287
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28076
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417064601
—
WI
05
—
30760200
—
WI
Enumeration date
08/24/2006
Last updated
03/07/2023
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