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1104927458
JOHN MICHAEL SHUTACK
CHESAPEAKE, VA
NPI
1104927458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: VA 0101102740)
Enumeration Date
2006-09-26
Last Update Date
2024-06-20
Business Address
Dr. JOHN MICHAEL SHUTACK MD
300 MEDICAL PKWY STE 206
CHESAPEAKE, VA 23320
Phone number: 757-690-8990
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Mailing Address
Dr. JOHN MICHAEL SHUTACK MD
667 KINGSBOROUGH SQ STE 101
CHESAPEAKE, VA 23320-4999
Phone number: 757-842-4481
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