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Edward Shackleford, DO
NPI 1790769800 · on the registry since 2005
Practice
- Address
- 10400 75th St
Aurora Medical Center
Kenosha, WI 53142 - Phone
- (262) 697-7000
- Fax
- (630) 734-1560
- Organisation at this address
- Akza Llc
Mea-Aea Kenosha Sc
Aurora Pharmacy Inc
Aurora Medical Group, Inc.
Best Practices Inpatient Care,Ltd.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 235
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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