Individual
DR. SOLOMON SHOCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 N 17TH AVE, SUITE C, WAUSAU, WI 54401-4200
(715) 849-5333
(715) 849-4083
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
64362-20
WI
207ND0900X
Dermatopathology Physician
64362-20
WI
Other
Enumeration date
06/25/2010
Last updated
08/02/2021
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