| Dr Krisan Shaw, DDS | |
|
501 W. Lucas Lane, Ellsworth, WI 54011 | |
| (715) 273-3700 | |
| (715) 273-1700 |
| Full Name | Dr Krisan Shaw |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 501 W. Lucas Lane, Ellsworth, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730219239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5175-015 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Krisan Shaw, DDS Po Box 310, 501 W. Lucas Lane, Ellsworth, WI 54011 Ph: (715) 273-3700 | Dr Krisan Shaw, DDS 501 W. Lucas Lane, Ellsworth, WI 54011 Ph: (715) 273-3700 |
Kaitlin Knutson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 Lucas Ln, Ellsworth, WI 54011 Phone: 715-273-3700 | |
Dr. Barbara E Tashjian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 412 W. Kinne St., Ellsworth, WI 54011 Phone: 715-273-6755 Fax: 715-273-6854 |