Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARRETT SHACKLETON, M.D.
ActiveColon & Rectal Surgery · WAUKEE, IA
Registration Details
- NPI Number
- 1295183184
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2016 (9.8875834664102 yrs)
- Last Updated
- Feb 3, 2026
- Licenses
-
MD-56398 (IA)MD-56398 (IA)
Practice Information
- Address
-
2515 GRAND PRAIRIE PKWYWAUKEE, IA, 502638979Browse IA providers · Browse ZIP 50263
- Phone
- 5152651300
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- Colon & Rectal Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.