Individual
JEFFREY B. SHOVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2999 N MAYFAIR RD, WAUWATOSA, WI 53222-4306
(414) 479-7000
Mailing address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(414) 352-3100
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
30083
WI
207X00000X
Orthopaedic Surgery Physician
Primary
30083
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31506100
—
WI
01
—
P01035283
RR MEDICARE
WI
Enumeration date
02/20/2006
Last updated
05/24/2022
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