Individual
MRS. SHELLEY MARIE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
9000 W. WISCONSIN AVE., MILWAUKEE, WI 53201-1997
(414) 266-2919
Mailing address
9000 W. WISCONSIN AVE., MILWAUKEE, WI 53201-1997
(414) 266-2919
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
262-156
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41132600
—
WI
Enumeration date
11/21/2008
Last updated
11/21/2008
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