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

Matthew Shin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508628736

Matthew Shin is a Student in an Organized Health Care Education/Training Program in Wausau, Wisconsin. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

100 N 72nd Ave Ste 207
Wausau, WI 54401-9042
Phone: (715) 301-0267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1508628736
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 24, 2024
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing address100 N 72nd Ave Ste 207, Wausau, WI 54401-9042

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