Individual provider · Type 1 NPI

Michael John Shanks, MD

Diagnostic Radiology Physician · Marinette, WI

NPI number 1619906930 Active

Practice location

3100 Shore Dr, Radiology Department
Marinette, WI 54143-4242

Call (715) 735-4200 Map

Fax (715) 735-8019

Mailing address

10335 N Port Washington Rd, Suite 250
Mequon, WI 53092-5763

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X43866-020 (WI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

24 other providers at this address

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About NPI 1619906930

Michael John Shanks, MD's National Provider Identifier is 1619906930, issued on Jun 30, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Marinette, WI. The record was last updated on Jul 8, 2007.