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1477757532
SHANE M GILLESPIE
GREEN BAY, WI
NPI
1477757532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WI 62207)
Enumeration Date
2007-06-13
Last Update Date
2021-12-22
Business Address
SHANE M GILLESPIE D.O.
2845 GREENBRIER RD
GREEN BAY, WI 54311-6519
Phone number: 920-288-3388
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Mailing Address
SHANE M GILLESPIE D.O.
PO BOX 28900
GREEN BAY, WI 54324-0900
Phone number: 920-490-9046
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