Shane J Degen is a Family Medicine in Green Bay, Wisconsin. Shane J Degen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shane J Degen is 1336127240. The last update date is 2011-10-07.
Shane J Degen's current location address is 1630 Commanche Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204304700. The mailing address for Shane J Degen is 1630 Commanche Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane J Degen |
|---|---|
| Address | 1630 Commanche Ave, Green Bay, Wisconsin |
| Phone Number | 9204304700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336127240 |
|---|---|
| Provider Enumeration Date | 2006-01-03 |
| Last Updated Date | 2011-10-07 |
Provider Mailing Address Detail
| Address | 1630 Commanche Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543136089 |
| Phone Number | 9204304700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 47641 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 241127000 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shane J Degen by the Centers for Medicare & Medicaid Services?
The Shane J Degen has been assigned the NPI (National Provider Identifier) 1336127240. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shane J Degen's facilities are situated?
The facilities of Shane J Degen are physically located at the following address: 1630 Commanche Ave, Green Bay, WI, 543136089.
What is Shane J Degen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shane J Degen is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
When was the Shane J Degen's 1336127240 issued?
The Shane J Degen's 1336127240 was issued on 2006-01-03.
When was the Shane J Degen's information last updated?
The Shane J Degen's information was last updated on 2011-10-07.