Individual
DR. MICHAEL JOSEPH SHALLCROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 315, MILWAUKEE, WI 53215-3660
(414) 385-2592
(414) 385-2591
Mailing address
615 E CORCORAN AVE UNIT 241, MILWAUKEE, WI 53202-4534
(703) 851-3647
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
85628-20
WI
207Q00000X
Family Medicine Physician
0101272972
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
85628-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
06/30/2025
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