SHANE SLAASTED

MILWAUKEE, WI
NPI1679111793
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: WI  2954-19)
Enumeration Date2019-12-19
Last Update Date2019-12-19
Business Address
SHANE SLAASTED PTA
10101 W WISCONSIN AVE
MILWAUKEE, WI 53226-4861
Phone number: 414-259-6310
Mailing Address
SHANE SLAASTED PTA
10101 W WISCONSIN AVE, MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
Phone number:
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