Individual provider · Type 1 NPI

Edward Shackleford, DO

Emergency Medicine Physician · Kenosha, WI

NPI number 1790769800 Active

Practice location

10400 75th St, Aurora Medical Center
Kenosha, WI 53142-7884

Call (262) 697-7000 Map

Fax (630) 734-1560

Mailing address

PO Box 3043, Mea Aea Kenosh Sc
Oak Brook, IL 60522-3043

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X42953021 (WI)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

229 other providers at this address

Other emergency medicine physician providers in Kenosha

See all in Kenosha →

About NPI 1790769800

Edward Shackleford, DO's National Provider Identifier is 1790769800, issued on Dec 1, 2005. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Kenosha, WI. The record was last updated on Jul 8, 2007.