Individual
RUSSELL SHARPSWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50216-021
WI
Other
Enumeration date
04/24/2007
Last updated
07/05/2011
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