Individual
ELIZABETH A SHIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6699
Mailing address
1211 FISH HATCHERY RD, MADISON, WI 53715-1909
(608) 252-8000
(608) 410-2905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1371-023
WI
363A00000X
Physician Assistant
Primary
1371-23
WI
363AS0400X
Surgical Physician Assistant
1371-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639128630
—
WI
Enumeration date
05/08/2006
Last updated
02/15/2022
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