Individual
BIANCA M SHUBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
(414) 219-6650
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 219-2000
(414) 219-6650
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
72247
WI
207P00000X
Emergency Medicine Physician
MD0000057436
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100096514
—
WI
Enumeration date
04/23/2015
Last updated
10/10/2023
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