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Shannon Intrepidi
Optician in Minocqua, Wisconsin
NPI 1114340718

Shannon Intrepidi is a Optician based in Minocqua, WI and is specialized in Optician. Shannon Intrepidi practices in Minocqua, WI. The NPI Number for Shannon Intrepidi is 1114340718 and holds a License No. (Wisconsin).

The current practice location address for Shannon Intrepidi is 419 Chippewa St, Minocqua, WI and can be reached out via phone at 715-356-5733 and via fax at 715-356-5733.

Location: 419 Chippewa St, Minocqua, WI, 54548-0182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114340718
Provider Name
Shannon Intrepidi
Credential
Provider Entity Type
Individual
Gender
Female
Address
419 Chippewa St, Minocqua, WI, 54548-0182
Phone Number
715-356-5733
Fax Number
715-356-5733
Provider Enumeration Date
02/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
419 Chippewa St
City
Minocqua
State
Wisconsin
Zip
54548
Phone Number
715-356-5733
Fax Number
715-356-5733
person
Provider Business Mailing Address Details
Address
419 Chippewa St
City
Minocqua
State
Wisconsin
Zip
54548
Phone Number
715-356-5733
Fax Number
715-356-5733
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
()
Definition
Definition to come...
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