OrganizationActive
Shell Lake Clinic, Ltd
NPI 1508225988 · Family Medicine Physician · Shell Lake, WI
Provider details
- NPI number
- 1508225988
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Dunham, President(715) 468-2711
- License
- 61281-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 4th Ave
Shell Lake, WI 54871-4457
Phone: (715) 468-2711
Fax: (715) 468-2727
Street-level locationGet directions
Mailing address
105 4th Ave
Shell Lake, WI 54871-4457
Registry dates
- Enumerated
- 2016-02-15
- Last updated
- 2016-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.