Individual
TAYLOR THOMAS SHUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-1713
Mailing address
2986 S SUPERIOR ST, MILWAUKEE, WI 53207-2544
(608) 566-6178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
480023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480023
STATE OF WISCONSIN
WI
Enumeration date
07/24/2019
Last updated
07/24/2019
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