Search › Wisconsin › 163W00000X

Conrad Shaker, RN

NPI 1245481951 · on the registry since 2008 · sole proprietor

Practice

Address
110 S East St
La Valle, WI 53941
Phone
(608) 415-1696

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin