Individual
DR. SHANNON SARAH MUDERLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9252 N GREEN BAY RD, BROWN DEER, WI 53209-1104
(414) 527-7500
(414) 365-6320
Mailing address
9252 N GREEN BAY RD, BROWN DEER, WI 53209-1104
(414) 527-7500
(414) 365-6320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47211
WI
Other
Enumeration date
11/08/2006
Last updated
10/29/2019
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