OrganizationActive
In-Your-Home Medicine & Geriatrics
NPI 1831200781 · Geriatric Medicine (Internal Medicine) Physician · Shorewood, WI
Provider details
- NPI number
- 1831200781
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shawn Antle, President(414) 795-6480
- License
- 46666 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3915 N Ridgefield Cir
Shorewood, WI 53211-2451
Phone: (414) 795-6480
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 11544
Shorewood, WI 53211-0544
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.