Organization
KAREN S. SHIMSHAK MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN S SHIMSHAK MD (OWNER)
(414) 271-7200
Entity
Organization
Contact information
Practice address
377 W RIVER WOODS PKWY, #115, GLENDALE, WI 53212-1088
(414) 271-7200
(414) 271-7278
Mailing address
377 W RIVER WOODS PKWY, #115, GLENDALE, WI 53212-1088
(414) 271-7200
(414) 271-7278
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27793
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21308000
—
WI
01
—
DF5394
RR MEDICARE
—
Enumeration date
01/29/2007
Last updated
10/24/2007
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