Individual
HENRY H SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
824 ILLINOIS AVENUE, STEVENS POINT, WI 54481
(715) 342-7500
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18701
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31163000
—
WI
Enumeration date
10/13/2006
Last updated
05/27/2008
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