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Search › Wisconsin › 207Q00000X

Shane Breeze-Baldauf

NPI 1891159612 · on the registry since 2016

Practice

Address
1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone
(414) 283-8444
Fax
(414) 274-5611
Organisation at this address
Aurora Pharmacy
Aurora Pharmacy Inc
Aurora Medical Group, Inc.
Wisconsin Dental Group, S.C.
Aurora Advanced Healthcare, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
38

Additional practice sites

  • 8701 W Watertown Plank Rd, Milwaukee, WI
  • 8701 W Watertown Plank Rd, Milwaukee, WI

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-24

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