IndividualActive
Shelley Watters, MD
NPI 1407963457 · Allergy & Immunology (Internal Medicine) Physician · Summit, WI
Provider details
- NPI number
- 1407963457
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 3394 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
36500 Aurora Dr
Summit, WI 53066-4899
Phone: (262) 434-1000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 735044
Chicago, IL 60673-5044
Additional practice locations (1)
- 1055 N Mayfair RdWauwatosa, WI 53226-3436Phone: (414) 479-2300
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2024-06-05
- Certified
- 2024-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.