Individual
MS. JENNIFER K SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CD
Contact information
Practice address
W129N7055 NORTHFIELD DR BLDG A, ENDOCRINOLOGY CLINIC, MENOMONEE FALLS, WI 53051-0538
(262) 253-7010
Mailing address
N113W16278 SYLVAN CIR UNIT C, GERMANTOWN, WI 53022-6032
(414) 238-3181
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1950-29
WI
Other
Enumeration date
04/18/2013
Last updated
06/08/2015
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