Individual
DR. SHAYNE D FEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3365 S 103RD ST, PEDIATRIC SPORTS MEDICINE, MILWAUKEE, WI 53227-4161
(414) 955-2600
(414) 955-6440
Mailing address
3365 S 103RD ST, PEDIATRIC SPORTS MEDICINE, MILWAUKEE, WI 53227-4161
(414) 955-2600
(414) 955-6440
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
55847
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659587244
—
WI
Enumeration date
05/14/2007
Last updated
06/13/2012
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