Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cullen Richard Shanrock, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083298673

Cullen Richard Shanrock, DPM is a Podiatry in Woodruff, Wisconsin. Graduated from New York College of Podiatric Medicine in 2021, 5 years ago. Practices with Lac Du Flambeau Band of Lake Superior Chippewa Indians, a 19-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Trained at
New York College of Podiatric Medicine
Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

311 Elm St
Woodruff, WI 54568-9149
Phone: (651) 564-2094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 1339-25 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083298673
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 10, 2021
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Lac Du Flambeau Band Of Lake Superior Chippewa Indians — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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