SHAWN PATEL

MEQUON, WI
NPI1073008025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WI  101708-875)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  125.073287)
Enumeration Date2018-06-22
Last Update Date2024-08-08
Business Address
SHAWN PATEL DO
12203 CORPORATE PKWY
MEQUON, WI 53092-3388
Phone number: 262-387-8200
Mailing Address
SHAWN PATEL DO
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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