NPI 1114340718
Shannon Intrepidi
Practice location
- Address
- 419 Chippewa St, Minocqua, WI 54548
- Phone
- (715) 356-5733
- Fax
- (715) 356-5733
- Mailing address
- PO Box 182, Minocqua, WI 54548-0182
Registered specialties
Optician
Primary
Registry record
- NPI
- 1114340718
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Feb 2014
- Record last updated
- 3 Feb 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.