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MS. CYNTHIA SHACKLETON MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-8384
Mailing address
3878 PINE VIEW DR, PULASKI, WI 54162-8827
(715) 610-4067

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1359-023
WI

Other

Enumeration date
09/22/2006
Last updated
02/23/2022
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