person
Dr. Annaliese Marie Koller Shumate, DO
General Practice Physician in Wauwatosa, Wisconsin
NPI 1174812499

Annaliese Marie Koller Shumate is a General Practice Physician based in Wauwatosa, WI. Annaliese Marie Koller Shumate practices in Wauwatosa, WI and has the professional credentials of DO. The NPI Number for Annaliese Marie Koller Shumate is 1174812499 and holds a License No. 60433-21 (Wisconsin).

The current practice location address for Annaliese Marie Koller Shumate is 1155 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-955-8990.

Location: 1155 N Mayfair Rd, Wauwatosa, WI, 53226-3462
person
Provider Profile Details
NPI Number
1174812499
Provider Name
Annaliese Marie Koller Shumate
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1155 N Mayfair Rd, Wauwatosa, WI, 53226-3462
Phone Number
414-955-8990
Fax Number
Provider Enumeration Date
04/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1155 N Mayfair Rd
City
State
Zip
53226-3462
Phone Number
414-955-8990
Fax Number
person
Provider Business Mailing Address Details
Address
1155 N Mayfair Rd
City
State
Zip
53226-3462
Phone Number
414-955-8990
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
60433-21 (Wisconsin)
Definition
Definition to come...
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