Individual
DR. HEIDI ANNE SHUFELT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4801 WASHINGTON AVE, RACINE, WI 53406-4219
(262) 637-3733
(262) 637-0752
Mailing address
4801 WASHINGTON AVE, RACINE, WI 53406-4219
(262) 637-3733
(262) 637-0752
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2554
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38595900
—
WI
Enumeration date
05/11/2006
Last updated
07/08/2007
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