Individual
MR. MARK SHROPSHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MSPT
Contact information
Practice address
3600 N WINTERSET DR, APPLETON, WI 54911-8552
(920) 734-5150
Mailing address
PO BOX 524, APPLETON, WI 54912-0524
(920) 734-5150
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3150024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40427100
—
WI
Enumeration date
03/24/2006
Last updated
03/05/2024
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