Search › Wisconsin › 164W00000X
Shannon Gresham
NPI 1306569249 · on the registry since 2022
Practice
- Address
- 2357 W Mason St
Green Bay, WI 54303 - Phone
- (192) 026-5570
- Organisation at this address
- Quality Addiction Management Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 55
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-26
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