Individual
ELI SHUCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2028 FISH HATCHERY RD APT 2, MADISON, WI 53713-1261
(608) 208-2364
Mailing address
2028 FISH HATCHERY RD APT 2, MADISON, WI 53713-1261
(608) 208-2364
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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