SearchWisconsinSpecialist

James Shattuck

NPI 1982837878 · on the registry since 2009 · sole proprietor

Practice

Address
N8760 River Rd
Trego, WI 54888
Phone
(715) 635-6442

Registry record

Primary taxonomy
Specialist
174400000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-08-26

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