Healthcare Provider Details

I. General information

NPI: 1326032335
Provider Name (Legal Business Name): STEPHEN L SHOPBELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S OAKWOOD RD
OSHKOSH WI
54904-7944
US

IV. Provider business mailing address

500 S OAKWOOD RD
OSHKOSH WI
54904-7944
US

V. Phone/Fax

Practice location:
  • Phone: 920-223-3530
  • Fax: 920-223-3535
Mailing address:
  • Phone: 920-223-3530
  • Fax: 920-223-3535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number44502
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: