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Search › Wisconsin › 207P00000X

P Shattuck, MD

NPI 1740273630 · on the registry since 2005

Practice

Address
225 Memorial Dr
Berlin, WI 54923
Phone
(920) 361-5538
Fax
(920) 361-5499
Organisation at this address
Chn Community Health
Agnesian Healthcare Inc
Berlin Memorial Hospital
Central Wisconsin Anesthesi
Thedacare Medical Center Berlin
Inferred from a shared address, not stated in the registry.
Clinicians at this address
91

Additional practice sites

  • N2934 Highway 22, Wautoma, WI

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
207Q00000X
208600000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin