Individual
TERENCE SHAUN EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1821 S WEBSTER AVE, GREEN BAY, WI 54301-2253
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34917-20
WI
2084E0001X
Epilepsy Physician
34917-20
WI
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
34917-20
WI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
34917-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32117600
—
WI
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
07/09/2006
Last updated
08/28/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us