Individual
JUSTIN K SHURTS
Active
Individual
JUSTIN K SHURTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
56108
WI
208M00000X
Hospitalist Physician
56108-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
125055393
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125055393
STATE LICENSE
IL
Enumeration date
07/08/2008
Last updated
09/10/2015
Update your record
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