Dr Shawn W Laibly, MD | |
323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | |
(920) 746-0510 | |
Not Available |
Full Name | Dr Shawn W Laibly |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 323 S 18th Ave, Sturgeon Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043322266 | NPI | - | NPPES |
34081100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 43278 (Wisconsin) | Primary |
Entity Name | Agnesian Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Mailing Address | Practice Location Address |
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Dr Shawn W Laibly, MD 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 Ph: (920) 746-0510 | Dr Shawn W Laibly, MD 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 Ph: (920) 746-0510 |
Charles Brian Shutt, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Dorene E. Dempster, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Dr. Elizabeth M Gaida, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Ronald Pluszczynski, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 |