Individual
SHAUN J MELARVIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1843 MICHIGAN ST, STURGEON BAY, WI 54235-1007
(920) 746-1060
Mailing address
323 S 18TH AVE, STURGEON BAY, WI 54235-1401
(920) 746-1060
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35098-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32015800
—
WI
Enumeration date
06/13/2006
Last updated
11/17/2023
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