Shauntun Dickerson
Shauntun Dickerson is a Durable Medical Equipment & Medical Supplies in Milwaukee, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1418 N 27th StMilwaukee, WI 53208-2409
Phone: (414) 366-6269
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1134471279 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 14, 2012 |
| Last updated in NPPES | October 14, 2012 |
| Mailing address | 1418 N 27th St, Milwaukee, WI 53208-2409 |
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