Organization
SHAWANO-GRESHAM SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE CULLEN (DIRECTOR OF PUPIL SERVICES)
(715) 526-2192
Entity
Organization
Contact information
Practice address
1050 SOUTH UNION STREET, SHAWANO, WI 54166
(715) 526-2192
(715) 524-7016
Mailing address
1050 SOUTH UNION STREET, SHAWANO, WI 54166
(715) 526-2192
(715) 524-7016
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44206000
—
WI
Enumeration date
05/02/2007
Last updated
08/22/2020
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