DR. MICHAEL JOHN SHANKS M.D.
NPI 1619906930
Radiology - Diagnostic Radiology in Marinette, WI

Active since June 30, 2006
3100 SHORE DR, RADIOLOGY DEPARTMENT, MARINETTE, WI 54143(715) 735-4200(715) 735-8019 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael John Shanks M.d. NPPES

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

DR. MICHAEL JOHN SHANKS M.D. (NPI 1619906930) is an individual diagnostic radiology provider in Marinette, Wisconsin, licensed in Wisconsin (43866-020) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1619906930
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MICHAEL JOHN SHANKSCredential: M.D.
Location Address3100 SHORE DR, RADIOLOGY DEPARTMENTMarinette, WI 54143-4242
Mailing Address10335 N Port Washington Rd, Suite 250Mequon, WI 53092-5763 · (262) 240-9870 · Fax (262) 240-9869
Fax(715) 735-8019
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619906930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WI · 43866-020
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3100 SHORE DR, Marinette, WI 54143

Other Identifiers 2

Medicaid34304300WI
Medicare UPINF02476

Other Providers at the Same Location NPPES 20

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

Family Medicine
3100 SHORE DR, NORTHREACH HEALTHCARE LLC
MARINETTE, WI 54143
Dietitian, Registered
3100 SHORE DR
MARINETTE, WI 54143
Dietitian, Registered
3100 SHORE DR
MARINETTE, WI 54143
Dietitian, Registered
3100 SHORE DR
MARINETTE, WI 54143
Internal Medicine (Cardiovascular Disease)
3100 SHORE DR
MARINETTE, WI 54143
Nutritionist (Nutrition, Education)
3100 SHORE DR
MARINETTE, WI 54143
Internal Medicine (Hematology & Oncology)
3100 SHORE DR
MARINETTE, WI 54143
Internal Medicine (Cardiovascular Disease)
3100 SHORE DR
MARINETTE, WI 54143

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 Michael Shanks's NPI number?

The NPI number for Michael Shanks is 1619906930. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Michael Shanks located?

Michael Shanks practices at 3100 Shore Dr Radiology Department, Marinette, WI 54143. The listed phone number is (715) 735-4200.

What is Michael Shanks's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Michael Shanks was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.