Individual
MR. JAMES B SHATTUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
N8760 RIVER RD, TREGO, WI 54888-9282
(715) 635-6442
Mailing address
N8760 RIVER RD, TREGO, WI 54888-9282
(715) 635-6442
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
137046
WI
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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