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1487601720
SHANE V. MOISIO
MILWAUKEE, WI
NPI
1487601720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: WI 44961)
Enumeration Date
2006-05-30
Last Update Date
2023-01-18
Business Address
Mr. SHANE V. MOISIO MD
1919 W NORTH AVE STE 200
MILWAUKEE, WI 53205-1101
Phone number: 414-257-7610
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Mailing Address
Mr. SHANE V. MOISIO MD
1919 W NORTH AVE STE 200
MILWAUKEE, WI 53205-1101
Phone number: 414-257-7610
Copy
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