Search › Wisconsin › 122300000X
Elliot Shambeau
NPI 1285329177 · on the registry since 2023
Practice
- Address
- 2930 County Hwy Nn
West Bend, WI 53095 - Phone
- (262) 338-8704
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 390200000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-26
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