Individual
NATHANIEL Y SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 CORAL DR, WAUKESHA, WI 53186-1483
(262) 650-3000
Mailing address
1700 CORAL DR, WAUKESHA, WI 53186-1483
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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