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1437470432
NATASHA RAE SHALLOW
MILWAUKEE, WI
NPI
1437470432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WI 62889)
Enumeration Date
2010-06-14
Last Update Date
2014-09-04
Business Address
Dr. NATASHA RAE SHALLOW M.D.
2323 N LAKE DR ROOM W1094
MILWAUKEE, WI 53211-4508
Phone number: 414-291-1994
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Mailing Address
Dr. NATASHA RAE SHALLOW M.D.
4425 N PORT WASHINGTON RD
GLENDALE, WI 53212-1082
Phone number: 414-326-2218
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