Search › Wisconsin › 363A00000X
Shamoon Mian, PA-C
NPI 1417763087 · on the registry since 2024
Practice
- Address
- 3059 Voyager Dr
Green Bay, WI 54311 - Phone
- (920) 965-0345
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-03
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