CHARLES BRIAN SHUTT

STURGEON BAY, WI
NPI1518065036
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: WI  31823-020)
Enumeration Date2006-09-20
Last Update Date2014-02-21
Business Address
-- CHARLES BRIAN SHUTT M.D.
323 S 18TH AVE
STURGEON BAY, WI 54235-1401
Phone number: 920-746-0510
Mailing Address
-- CHARLES BRIAN SHUTT M.D.
323 S 18TH AVE
STURGEON BAY, WI 54235-1401
Phone number: 920-746-0510
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