Individual
PAUL TANNER SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25320 75TH ST, SALEM, WI 53168-9684
(262) 843-2336
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1368
WI
213ES0103X
Foot & Ankle Surgery Podiatrist
135001034
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100413391
—
WI
Enumeration date
03/27/2019
Last updated
06/01/2026
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