Individual
KEITH HAYDEN SHAMROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
735 S SHOOP AVE, WAUSEON, OH 43567-1735
(419) 335-3242
(419) 335-3222
Mailing address
735 S SHOOP AVE, WAUSEON, OH 43567-1735
(419) 335-3242
(419) 335-3222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.017988
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151340
—
OH
05
—
119212500
—
FL
Enumeration date
03/30/2020
Last updated
12/01/2025
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