DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHANNON L. HUETTL PA

MEDICARE: SHANNON L. HUETTL PA
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
1363A00000XPhysician Assistant1435WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194752824
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON L. HUETTL PA
Provider Business Mailing Address
First Line : 2000 E MILESTONE DR
Second Line :
City : APPLETON
State : WI
Zip : 54913-6701
Country : US
Telephone Number : 920-731-8131
Fax Number : 920-832-0444
Provider Business Practice Location Address
First Line : 2500 E CAPITOL DR STE 1700
Second Line :
City : APPLETON
State : WI
Zip : 54911-8735
Country : US
Telephone Number : 920-731-8131
Fax Number : 920-832-0444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 01/05/2026

Similar Medicare Providers

1053317594 — DEBORAH A IHDE MD
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 920-731-5811
Practice Fax: 920-738-6293
1427023084 — CRAIG S HENDEL M.D.
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 920-738-4600
Practice Fax:
1316914492 — KAREN E HANSEN MD
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 920-729-2933
Practice Fax:
1730141029 — DR. TRACEY O'NEAL HOOKER D.O.
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 920-380-4999
Practice Fax:
1093773517 — NICOLE L BELL PT
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 920-831-5050
Practice Fax: 920-735-7648
1871535120 — KARLA M VERBONCOUER PT
Practice Location Address:
2500 E CAPITOL DR
APPLETON, WI
54911-8735
Practice Phone: 920-831-5050
Practice Fax: 920-735-7648

Directions to “ SHANNON L. HUETTL PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.