Individual
BARRETT E SHOULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(630) 430-7563
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(630) 430-7563
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
63220-20
WI
Other
Enumeration date
04/02/2013
Last updated
10/19/2023
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