| Doctor Name: | DR. RONALD PARRY SHAW |
| NPI Number: | 1528272622 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 17715 |
| Business Practice Address: | 317 Knutson Dr Madison, WI - 537041133 |
| Business Phone Number: | 6083019231 |
| Business Fax Number: | |
| Mailing Address: | 42 Oak Creek Trl, MADISON |
| State: | WI |
| Postal Code: | 537171510 |
| Phone Number: | 6088292872 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225400000X |
| License Number: | 17715 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Practitioner |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |