Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE BRAHM
ActiveDR. SHANE BRAHM is a Optometrist healthcare provider located in LAC DU FLAMBEAU, Wisconsin. NPI 1831570761 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LAC DU FLAMBEAU, WI
Registration Details
- NPI Number
- 1831570761
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2015 (11.196304276936 yrs)
- Last Updated
- Jun 16, 2015
- License
-
3376-35 (WI)
Practice Information
- Address
-
129 OLD ABE RDLAC DU FLAMBEAU, WI, 545389386Browse WI providers · Browse ZIP 54538
- Phone
- 7155883371
- Fax
- 7155882039
- Primary Specialty
-
Optometrist
152W00000X
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.