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

Individual provider Medical Physician Assistant · NPI 1952563223

Shannon P Brozak, PA is a Physician Assistant in LA Crosse, Wisconsin. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Iowa and Wisconsin.

Years since qualifying
18
Licensed in
IA, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2531 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 001910 (IA)

Record details

NPI number1952563223
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 27, 2008
Last updated in NPPESJanuary 10, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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