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Individual

DR. RONALD PARRY SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9231
Mailing address
42 OAK CREEK TRL, MADISON, WI 53717-1510
(608) 829-2872

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
17715
WI

Other

Enumeration date
05/09/2007
Last updated
07/08/2007
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