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SHELL LAKE CLINIC, LTD
NPI 1508225988
Family Medicine in Shell Lake, WI

Active since February 15, 2016
105 4TH AVE, SHELL LAKE, WI 54871(715) 468-2711(715) 468-2727 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shell Lake Clinic, Ltd NPPES

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

SHELL LAKE CLINIC, LTD (NPI 1508225988) is a healthcare organization registered as a family medicine in Shell Lake, Wisconsin and active in the NPI registry since February 2016. The organization lists Jeffrey L. Dunham, President, as its authorized official.

NPPES Registry Identity

NPI1508225988
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHELL LAKE CLINIC, LTD
Location Address105 4TH AVEShell Lake, WI 54871-4457
Mailing Address105 4th AveShell Lake, WI 54871-4457 · (715) 468-2711 · Fax (715) 468-2727
Phone(715) 468-2711
Fax(715) 468-2727
Organization SubpartNo
Authorized OfficialJeffrey L. DunhamPresident · (715) 468-2711
Enumeration DateFebruary 15, 2016
✔ NPI 1508225988 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 · 61281-20
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.
105 4TH AVE, Shell Lake, WI 54871
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Other Identifiers 2

Medicaid1932141157WI
Medicare PIN660200027WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELL LAKE CLINIC, LTD
Family Medicine
105 4TH AVE
SHELL LAKE, WI 54871
Washburn County (715) 468-2711
KENNETH JOE GARRISON M.D.
Surgery
105 4TH AVE
SHELL LAKE, WI 54871
Washburn County (715) 468-2711
KENNETH J GARRISON, MD, SC
Surgery
105 4TH AVE
SHELL LAKE, WI 54871
Washburn County (715) 468-2711

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 Shell Lake Clinic, Ltd's NPI number?

The NPI number for Shell Lake Clinic, Ltd is 1508225988. It was assigned to this organization in the NPPES registry on February 15, 2016.

Where is Shell Lake Clinic, Ltd located?

Shell Lake Clinic, Ltd is located at 105 4th Ave, Shell Lake, WI 54871. The listed phone number is (715) 468-2711.

What is Shell Lake Clinic, Ltd'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 Shell Lake Clinic, Ltd was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.