Koehler, Shannon Michelle

Koehler, Shannon Michelle is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Surgery, Milwaukee WI 53226-4874. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Koehler, Shannon Michelle can be contacted via phone (414) 266-6550.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Surgery Milwaukee WI 53226-4874
Phone: (414) 266-6550
Fax: (414) 266-6579
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MDR-5733 Hawaii
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 62385 Wisconsin

Profile Details

NPI number 1710114178
LBN Legal business name Koehler, Shannon Michelle
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2009
Last updated Jul 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710114178 NPPES
Wisconsin MEDICAID 1710114178

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