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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

P MICHAEL SHATTUCK, MD

Active

Emergency Medicine · BERLIN, WI

Registration Details

NPI Number
1740273630
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2005 (20.656214277683 yrs)
Last Updated
Jul 26, 2023
Licenses
25430-020 (WI)
25430-020 (WI)
25430 (WI)

Practice Information

Address
225 MEMORIAL DR
BERLIN, WI, 549231243
Browse WI providers · Browse ZIP 54923
Phone
9203615538
Fax
9203615499
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
General Surgery
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in BERLIN, WI

Name Credential NPI
JOHN W SILKEY MD 1073506192
DR. MARIA GRACE CRUZ-APOLINARIO MD 1215926795
DR. JAMES S HEINZEN M.D. 1013908409
MARY SWIESKOWSKI CUMMINS M.D. 1225074214
ERIN K EFEREM M.D. 1700106796
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.