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Individual

DR. ILAN I SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
414 DOCTORS CT, OSHKOSH, WI 54901-2065
(920) 303-8700
(920) 303-5630
Mailing address
414 DOCTORS CT, OSHKOSH, WI 54901-2065
(920) 303-8700
(920) 303-5630

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
28433
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30820800
WI
Enumeration date
08/24/2006
Last updated
03/07/2023
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