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Individual

ALEXANDER SHUTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X
Credential
DPT

Contact information

Practice address
1772 RIVERSIDE DR, SUAMICO, WI 54173-8100
(920) 838-5483
Mailing address
1772 RIVERSIDE DR, SUAMICO, WI 54173-8100
(920) 838-5483

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
1745324
WI

Other

Enumeration date
08/23/2025
Last updated
08/23/2025
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