Ethan T. Shaver, PA
Physician Assistant · Green Bay, WI
UnclaimedPANPI 1013452002
- Primary taxonomy
- 363A00000X
- Enumerated
- 2016-12-29
- Practice location
- Green Bay, WI
- Last NPPES update
- 2026-05-19
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.