Individual
DR. SHELLEY RAE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 BERGSLIEN ST, BALDWIN, WI 54002-2600
(715) 684-1111
Mailing address
2110 E CENTER ST, ROCHESTER, MN 55904-4754
(507) 424-7105
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
28987
WI
2084P0805X
Geriatric Psychiatry Physician
Primary
28987
WI
Other
Enumeration date
10/22/2015
Last updated
03/22/2018
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