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DR. SHANNON PHEADRA ALLEN-GRYZWA MD
NPI 1306819479
Family Medicine in Milwaukee, WI

Active since February 09, 2006
PREMISE HEALTHCARE MILLER HEALTH & FITNESS, 4400 W. STATE ST., MILWAUKEE, WI 53208(262) 928-1900 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Shannon Pheadra Allen-gryzwa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANNON PHEADRA ALLEN-GRYZWA MD (NPI 1306819479) is an individual family medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (40073) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1306819479
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHANNON PHEADRA ALLEN-GRYZWACredential: MD
Location AddressPREMISE HEALTHCARE MILLER HEALTH & FITNESS, 4400 W. STATE ST.Milwaukee, WI 53208
Mailing Address240 Maple Ave, Prohealth Care Medical Associates Inc.Mukwonago, WI 53149-8475 · (262) 928-1900
Phone(262) 928-1900
Sole ProprietorNo
Enumeration DateFebruary 9, 2006
Last NPPES UpdateFebruary 16, 2024
✔ NPI 1306819479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 40073
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PREMISE HEALTHCARE MILLER HEALTH & FITNESS, Milwaukee, WI 53208
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Other Identifiers 1

Medicaid32639500WI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Allen-gryzwa's NPI number?

The NPI number for Shannon Allen-gryzwa is 1306819479. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Shannon Allen-gryzwa located?

Shannon Allen-gryzwa practices at Premise Healthcare Miller Health & Fitness 4400 W. State St., Milwaukee, WI 53208. The listed phone number is (262) 928-1900.

What is Shannon Allen-gryzwa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shannon Allen-gryzwa was last updated on February 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.