Individual
DR. KATHERINE A SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DEPT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3740
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, DEPT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3740
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18920
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000135K
HUMANA
—
05
—
1588616395
—
WI
Enumeration date
05/17/2006
Last updated
09/29/2014
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