Individual
DR. BRONWEN E SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBCHB, PHD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 805-4606
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-0505
(414) 805-4606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
64139
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972913614
—
WI
Enumeration date
05/03/2014
Last updated
06/05/2021
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