Individual
MR. JOHN R SHULSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1602 PHYSICIANS DR STE 104, WILMINGTON, NC 28401-7350
(910) 442-1100
(910) 442-1199
Mailing address
721 WOODLAND FOREST CT, WILMINGTON, NC 28403-8832
(910) 632-8534
(910) 442-1199
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
15959
TX
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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