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NPI Code Detail

MEDICARE: SHELBY PUPP AUD

MEDICARE:   SHELBY  PUPP  AUD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist1106-156WI

General Provider Information

NPI Number : 1831088871
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY PUPP AUD
Provider Business Mailing Address
First Line : 620 E GREEN BAY AVE STE 110
Second Line :
City : SAUKVILLE
State : WI
Zip : 53080-2039
Country : US
Telephone Number : 262-268-1400
Fax Number :
Provider Business Practice Location Address
First Line : 620 E GREEN BAY AVE STE 110
Second Line :
City : SAUKVILLE
State : WI
Zip : 53080-2039
Country : US
Telephone Number : 269-268-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2025
Last Update Date : 01/30/2026

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Directions to “ SHELBY PUPP AUD” Practice Location

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