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Amanda Shober
NPI 1386012052 · on the registry since 2015
Practice
- Address
- W260n5417 Glen Ridge Rd
Sussex, WI 53089 - Phone
- (262) 719-0396
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-14
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