Mr Conrad Shaker, RN | |
110 S East St, La Valle, WI 53941-8525 | |
(608) 415-1696 | |
Not Available |
Full Name | Mr Conrad Shaker |
---|---|
Gender | Male |
Speciality | Registered Nurse |
Location | 110 S East St, La Valle, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245481951 | NPI | - | NPPES |
35011300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 152058 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Conrad Shaker, RN Po Box 352, La Valle, WI 53941-0352 Ph: (608) 415-1696 | Mr Conrad Shaker, RN 110 S East St, La Valle, WI 53941-8525 Ph: (608) 415-1696 |
Tammie Jo Skrabel, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: E2678 Amsterdam Ct, La Valle, WI 53941 Phone: 608-393-1068 | |
Alisia Marshall, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 313 State Road 33 58, La Valle, WI 53941 Phone: 608-495-1422 |