SHANNON M FOGARTY

WAUWATOSA, WI
NPI1508801622
Former NameSHANNON M WHITAKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  1545-033)
Enumeration Date2006-06-20
Last Update Date2021-11-18
Business Address
SHANNON M FOGARTY N.P.
1055 N MAYFAIR RD
WAUWATOSA, WI 53226
Phone number: 414-479-2300
Mailing Address
SHANNON M FOGARTY N.P.
1055 N MAYFAIR RD
WAUWATOSA, WI 53226-3436
Phone number: 414-479-2300
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