Individual provider · Type 1 NPI

John Michael Shutack, MD

Neurological Surgery Physician · Chesapeake, VA

NPI number 1104927458 Active

Practice location

300 Medical Pkwy Ste 206
Chesapeake, VA 23320

Call (757) 690-8990 Map

Fax (757) 198-6944

Mailing address

667 Kingsborough Sq Ste 101
Chesapeake, VA 23320-4999

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X0101102740 (VA)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1104927458

John Michael Shutack, MD's National Provider Identifier is 1104927458, issued on Sep 26, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Chesapeake, VA. The record was last updated on Jun 20, 2024.