Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shannon Pheadra Allen-Gryzwa, MD

Individual provider Family Medicine Physician · NPI 1306819479

Dr. Shannon Pheadra Allen-Gryzwa, MD is a Family Medicine Physician in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Premise Healthcare Miller Health & Fitness 4400 W State St
Milwaukee, WI 53208
Phone: (262) 928-1900
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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 · Licence 40073 (WI)

Record details

NPI number1306819479
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 9, 2006
Last updated in NPPESFebruary 16, 2024

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