Individual
SHAOHAN DENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7427
(414) 219-6078
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-7427
(414) 219-6078
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
80107
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246584
—
WI
Enumeration date
03/30/2020
Last updated
10/06/2023
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