Dr Michael John Shanks, MD | |
3100 Shore Dr, Radiology Department, Marinette, WI 54143-4242 | |
(715) 735-4200 | |
(715) 735-8019 |
Full Name | Dr Michael John Shanks |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3100 Shore Dr, Marinette, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619906930 | NPI | - | NPPES |
34304300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 43866-020 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Michael John Shanks, MD 10335 N Port Washington Rd, Suite 250, Mequon, WI 53092-5763 Ph: (262) 240-9870 | Dr Michael John Shanks, MD 3100 Shore Dr, Radiology Department, Marinette, WI 54143-4242 Ph: (715) 735-4200 |
Dr. Robert P Dizor, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4061 Old Peshtigo Rd, Marinette, WI 54143 Phone: 715-732-8000 Fax: 715-732-8007 | |
Katie Johannah Livingston, MD Radiology Medicare: Medicare Enrolled Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-8015 Fax: 715-732-8215 |