Individual
THOMAS W SHOOKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
(608) 355-7001
Mailing address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
(608) 355-7001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
62-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027534
PHYSICIANS PLUS
WI
01
—
3421
DEAN HEALTH INSURANCE
WI
05
—
42976900
—
WI
Enumeration date
05/02/2006
Last updated
04/30/2014
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