Individual
JONATHAN SHIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9200 W LOOMIS RD STE 116, FRANKLIN, WI 53132
(414) 529-9232
(414) 529-9292
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1129
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
1129
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077701
—
WI
Enumeration date
05/08/2015
Last updated
06/05/2024
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