Individual
JONATHON J SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4901 TULIP CT, WAUSAU, WI 54401-7605
(715) 574-5322
Mailing address
916 N 2ND AVE, WAUSAU, WI 54401-2817
(715) 219-2070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
17622830
WI
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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