Provider Demographics
NPI:1821597600
Name:CATMULL, SHAWN PAUL (DO)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:PAUL
Last Name:CATMULL
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N OAK AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-5703
Mailing Address - Country:US
Mailing Address - Phone:208-346-3989
Mailing Address - Fax:
Practice Address - Street 1:1701 N FIG AVE
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:WI
Practice Address - Zip Code:54449-1484
Practice Address - Country:US
Practice Address - Phone:844-531-6247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21877207P00000X
AZ011417207P00000X
TXV2867207P00000X
WI75225-21207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine