Individual
DR. KATIE LAYNE SHEWBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
505 W CAMPUS DR, WAUSAU, WI 54401-1828
(715) 261-1199
Mailing address
505 W CAMPUS DR, WAUSAU, WI 54401-1828
(715) 261-1199
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
8191921
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
8191921
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
05/07/2026
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