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

Mr. Shane Michael Tendick, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033963319

Mr. Shane Michael Tendick, MD is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2024
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

5000 W Chambers St
Milwaukee, WI 53210-1650
Phone: (414) 447-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 515 22nd Ave, Monroe, WI 53566-1569 — (608) 324-1000

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 101208 (WI)

Record details

NPI number1033963319
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

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