IndividualActive
Jeffrey Shaw, MD
NPI 1124083712 · Allergy & Immunology Physician · Green Bay, WI
Provider details
- NPI number
- 1124083712
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 20844 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1821 S Webster Ave
Green Bay, WI 54301
Phone: (920) 496-4700
Fax: (920) 431-1914
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 19070
Green Bay, WI 54307-9070
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2017-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.