Individual provider · Type 1 NPI
Douminnek Shaw
Medical Physician Assistant · West Allis, WI
NPI number
1447185772
Active
Practice location
2821 S 106th St Apt 114
West Allis, WI 53227-3264
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in West Allis
About NPI 1447185772
Douminnek Shaw's National Provider Identifier is 1447185772, issued on Jun 17, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Allis, WI. The record was last updated on Jun 17, 2026.