Individual
SHAWN THOMAS SEDGWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
(608) 638-5042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38787-020
WI
207Q00000X
Family Medicine Physician
5163
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001063025
MEDICARE
WI
01
—
005300461
MEDICARE
WI
05
—
32362200
—
WI
01
—
38787-020
STATE OF WISCONSIN LICENSE
WI
01
—
5163
AK STATE LICENSE
AK
05
—
MD9374
—
AK
Enumeration date
12/15/2005
Last updated
02/02/2026
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