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NPI Verification

National Provider Identifier: 1306819479

Shannon Pheadra Allen-Gryzwa, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

PREMISE HEALTHCARE MILLER HEALTH & FITNESS

4400 W. STATE ST.

MILWAUKEE, WI 53208

Phone: 262-928-1900

NPI Enumeration Date

February 9, 2006

NPI Number

1306819479

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry