P Michael Shattuck, MD

NPI #1740273630 in Berlin, Wisconsin

Provider Information

NPI Number: 1740273630
Entity Type: Individual
Name: P Michael Shattuck, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Aug 25, 2005
Last Updated: Jul 26, 2023

Practice Location

Address: 225 MEMORIAL DR
City: Berlin
State: Wisconsin
ZIP Code: 54923-1243
Phone: (920) 361-5538

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Surgery	208600000X
Emergency Medicine	207P00000X	Primary

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