NPI 1558361444

Theodore G Shattuck, MD

Practitioner Otolaryngology Physician Rutland, VT

Practice location

Address: 69 Allen St Suite 4, Rutland, VT 05701-4564
Phone: (802) 775-3314
Fax: (802) 775-9617
Mailing address: 69 Allen St Suite 1, Rutland, VT 05701-4564

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 042-0006143 (VT)

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Registry record

NPI: 1558361444
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jul 2005
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.