| Dr Shawn W Laibly, MD | |
|
323 S 18th Ave, Sturgeon Bay, WI 54235-1401 | |
| (920) 746-0510 | |
| Not Available |
| Full Name | Dr Shawn W Laibly |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 323 S 18th Ave, Sturgeon Bay, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043322266 | NPI | - | NPPES |
| 34081100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 43278 (Wisconsin) | Primary |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shawn W Laibly, MD 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 Ph: (920) 746-0510 | Dr Shawn W Laibly, MD 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 Ph: (920) 746-0510 |
Charles Brian Shutt, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Dorene E. Dempster, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Dr. Elizabeth M Gaida, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 | |
Ronald Pluszczynski, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235 Phone: 920-746-0510 |