Individual
CHERYL LYNN SHOCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., M.S.
Contact information
Practice address
APPLETON MEDICAL CENTER 1818 NORTH MEADE STREET, APPLETON, WI 54911
(920) 738-5356
Mailing address
4 BROKAW PL, APPLETON, WI 54911-5631
(920) 738-5356
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
420029
WI
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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