Individual
CLARE SHINNERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
675 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 241-4156
Mailing address
675 W WASHINGTON AVE, MADISON, WI 53703-2637
(608) 241-4156
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3411-23
WI
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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