Individual
MATTHEW SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N 72ND AVE STE 207, WAUSAU, WI 54401-9042
(715) 301-0267
Mailing address
100 N 72ND AVE STE 207, WAUSAU, WI 54401-9042
(715) 301-0267
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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