Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shell Lake Clinic, Ltd

Organization Family Medicine Physician · NPI 1083722805

Shell Lake Clinic, Ltd is a Family Medicine Physician in Shell Lake, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 4th Ave
Shell Lake, WI 54871-0336
Phone: (715) 468-2711
Fax: (715) 468-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1083722805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Dunham — President · (715) 468-2711
NPI enumeratedAugust 29, 2006
Last updated in NPPESOctober 23, 2008
Mailing address105 4th Ave, P O Box 336, Shell Lake, WI 54871-0336

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