Individual
BRYAN P SHUMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
289 BLUE WATER TRL, BOYNE CITY, MI 49712-8816
(248) 762-0568
Mailing address
289 BLUE WATER TRL, BOYNE CITY, MI 49712-8816
(248) 762-0568
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301036561
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A76750
HAP
MI
Enumeration date
04/20/2006
Last updated
07/05/2011
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