Individual
THOMAS WILFRED SHILTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
M225 TURTLE RIDGE RD, MARSHFIELD, WI 54449-9285
(715) 387-2080
(715) 387-2080
Mailing address
M225 TURTLE RIDGE RD, MARSHFIELD, WI 54449-9285
(715) 387-2080
(715) 387-2080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
122136-030
WI
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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