Individual
SHARON K. SHEPICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15397 STATE HIGHWAY 32, LAKEWOOD, WI 54138-9702
(715) 276-6321
(715) 276-1428
Mailing address
PO BOX 179, 15397 STATE HWY 32, LAKEWOOD, WI 54138-0179
(715) 276-6321
(715) 276-1428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39820
WI
208D00000X
General Practice Physician
4301114255
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145178
—
AZ
05
—
32598600
—
WI
01
—
39820
WI LICENSE
WI
05
—
52274080
—
CO
05
—
81006888
—
NM
Enumeration date
06/28/2006
Last updated
11/18/2021
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