Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Joseph Shallcross, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962965624

Dr. Michael Joseph Shallcross, MD is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Works from 3 locations. Licensed in Virginia and Wisconsin.

Licensed in
VA, WI
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2901 W Kinnickinnic River Pkwy Ste 315
Milwaukee, WI 53215-3660
Phone: (414) 385-2592
Fax: (414) 385-2591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6311 Richmond Hwy, Alexandria, VA 22306-6410 — (703) 647-6087
  • 10510 Jefferson Ave Ste A, Newport News, VA 23601-3102 — (757) 594-3800

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 85628-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 85628-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101272972 (VA)

Record details

NPI number1962965624
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

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