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1306819479
SHANNON PHEADRA ALLEN-GRYZWA
MILWAUKEE, WI
NPI
1306819479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 40073)
Enumeration Date
2006-02-09
Last Update Date
2024-02-16
Business Address
Dr. SHANNON PHEADRA ALLEN-GRYZWA MD
PREMISE HEALTHCARE MILLER HEALTH & FITNESS 4400 W. STATE ST.
MILWAUKEE, WI 53208
Phone number: 262-928-1900
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Mailing Address
Dr. SHANNON PHEADRA ALLEN-GRYZWA MD
240 MAPLE AVE PROHEALTH CARE MEDICAL ASSOCIATES INC.
MUKWONAGO, WI 53149-8475
Phone number: 262-928-1900
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