Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMIAH J SHAW, MD
ActiveJEREMIAH J SHAW, MD is a Family Medicine healthcare provider located in MONONA, Wisconsin. NPI 1619439403 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MONONA, WI
Registration Details
- NPI Number
- 1619439403
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2019 (7.3659199205736 yrs)
- Last Updated
- Dec 5, 2024
- License
-
74863-20 (WI)
Practice Information
- Address
-
1050 E BROADWAYMONONA, WI, 537164023Browse WI providers · Browse ZIP 53716
- Phone
- 6082875899
- Fax
- 6082512332
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MONONA, WI
| Name | Credential | NPI |
|---|---|---|
| STANLEY LIVINGSTON | MD | 1619946076 |
| JIE WANG | MD | 1356310601 |
| DEREK E CLEVIDENCE | MD, PHD | 1093774135 |
| ANN E EVENSEN | MD | 1801855812 |
| DAVID P RAKEL | MD | 1336109636 |
| JAMES ADAM RINDFLEISCH | MD | 1316908197 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.