Individual
DR. DONALD JOE SHELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3827 N PROSPECT RD, PEORIA, IL 61616-7767
(309) 686-1000
(309) 686-8174
Mailing address
3827 N PROSPECT RD, PEORIA, IL 61616-7767
(309) 686-1000
(309) 686-8174
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016003172
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4768490001
DMERC
—
Enumeration date
01/25/2006
Last updated
03/03/2010
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