Individual
KIM M SHUMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
815 N MAIN ST, OREGON, WI 53575-1005
(608) 835-3191
(608) 835-5467
Mailing address
3826 BUSSE ST, MADISON, WI 53714-2818
(608) 222-8552
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12678-040
WI
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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