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Individual

SHAWN W DUNLAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-3917
(608) 392-7128
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2284
MN
363L00000X
Nurse Practitioner
Primary
5223
WI
363L00000X
Nurse Practitioner
R 167224-6
MN

Other

Enumeration date
08/13/2008
Last updated
11/21/2018
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