NPI 1740273630

P Michael Shattuck, MD

Practitioner Emergency Medicine Physician Berlin, WI

Practice location

Address: 225 Memorial Dr, Berlin, WI 54923-1243
Phone: (920) 361-5538
Fax: (920) 361-5499

Registered specialties (3)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 25430 (WI)

Other Emergency Medicine providers in Wisconsin →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25430-020 (WI)

Other Family Medicine providers in Wisconsin →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 25430-020 (WI)

Other Surgery providers in Wisconsin →

Registry record

NPI: 1740273630
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Aug 2005
Record last updated: 26 Jul 2023

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.