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Shannon Jo Shillin, PT,DPT
Military Health Care Provider in Milwaukee, Wisconsin
NPI 1376721803

Shannon Jo Shillin is a Military Health Care Provider based in Milwaukee, WI. Shannon Jo Shillin practices in Milwaukee, WI and has the professional credentials of PT,DPT. The NPI Number for Shannon Jo Shillin is 1376721803 and holds a License No. (Wisconsin).

The current practice location address for Shannon Jo Shillin is 5000 W National Ave, Milwaukee, WI and can be reached out via phone at 414-384-2000.

Location: 5000 W National Ave, Milwaukee, WI, 53233-2535
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376721803
Provider Name
Shannon Jo Shillin
Credential
PT,DPT
Provider Entity Type
Individual
Gender
Female
Address
5000 W National Ave, Milwaukee, WI, 53233-2535
Phone Number
414-384-2000
Fax Number
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5000 W National Ave
City
Milwaukee
State
Wisconsin
Zip
53295-0001
Phone Number
414-384-2000
Fax Number
person
Provider Business Mailing Address Details
Address
5000 W National Ave
City
Milwaukee
State
Wisconsin
Zip
53295-0001
Phone Number
414-384-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
(Wisconsin)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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