SHANE WESLEY WHITE

WAUSAU, WI
NPI1659959039
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: WI  87323)
Enumeration Date2021-03-29
Last Update Date2026-07-16
Business Address
SHANE WESLEY WHITE
512 S 28TH AVE
WAUSAU, WI 54401-4147
Phone number: 715-847-2021
Mailing Address
SHANE WESLEY WHITE
512 S 28TH AVE
WAUSAU, WI 54401-4147
Phone number: 715-847-2021
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