Individual
DR. JOHN SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
132 MONROE ST # B, MONDOVI, WI 54755-1731
(715) 926-4237
Mailing address
8819 164TH ST, CHIPPEWA FALLS, WI 54729-5266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002138-15
WI
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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