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Individual

DR. TIMOTHY J SHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
752 N HIGH POINT RD, DEAN MEDICAL CENTER, MADISON, WI 53717-2236
(608) 824-4800
(608) 824-4910
Mailing address
752 N HIGH POINT RD, DEAN MEDICAL CENTER, MADISON, WI 53717-2236
(608) 824-4800
(608) 824-4910

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
23506-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31510800
WI
01
60452
DEAN HEALTH INSURANCE
WI
Enumeration date
06/15/2006
Last updated
05/12/2008
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