IndividualActive
Shane Martin, DC
NPI 1679168637 · Chiropractor · New Berlin, WI
Shane Martin, DC is a Chiropractor provider in New Berlin, WI (NPI 1679168637).
Provider details
- NPI number
- 1679168637
- Entity type
- Individual
- Primary specialty
- ChiropractorChiropractic Providers
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5624-12 (WI)
Practice location
3800 S Moorland Rd
New Berlin, WI 53151-5226
Phone: (262) 271-1505
Street-level locationGet directions
Mailing address
140 Cook St
Waukesha, WI 53186-4933
Registry dates
- Enumerated
- 2021-03-02
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.