Provider Demographics
NPI:1891750550
Name:SHAFFER, WILLIAM ORLON (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ORLON
Last Name:SHAFFER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1200 1ST AVE E STE C
Mailing Address - Street 2:NORTHWEST IOWA BONE JOINT & SPORTS SURGEONS
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301-4342
Mailing Address - Country:US
Mailing Address - Phone:712-262-7511
Mailing Address - Fax:712-262-3658
Practice Address - Street 1:740 S. LIMESTONE STREET
Practice Address - Street 2:K-416 KENTUCKY CLINIC
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0284
Practice Address - Country:US
Practice Address - Phone:859-323-5533
Practice Address - Fax:859-323-2412
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2009-12-28
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Provider Licenses
StateLicense IDTaxonomies
KY36600207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A03030Medicare UPIN