Individual
KARI SHELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 S MAPLE ST, BLACK CREEK, WI 54106-9787
(920) 984-3361
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
(920) 738-5787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39110
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32606000
—
WI
Enumeration date
06/27/2006
Last updated
11/10/2014
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