EDWARD SHACKLEFORD, DO
Emergency Medicine
Active
Individual
NPI: 1790769800
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Emergency Medicine | 207P00000X | Yes | 42953021 (WI) |
Frequently Asked Questions
NPI 1790769800 is the National Provider Identifier for EDWARD SHACKLEFORD, DO, a Emergency Medicine provider located in Kenosha, WI. This NPI was enumerated on December 1, 2005.
EDWARD SHACKLEFORD, DO practices at 10400 75TH ST, AURORA MEDICAL CENTER, Kenosha, WI 53142.
Quick Facts
- NPI
- 1790769800
- Type
- Individual
- Enumerated
- Dec 1, 2005
- Last Updated
- Jul 8, 2007
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