Individual
STANLEY SZUMIAK ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
610 N MAIN ST, LAPEER, MI 48446
(810) 667-9000
(810) 667-2001
Mailing address
610 N MAIN ST, LAPEER, MI 48446
(810) 667-9000
(810) 667-2001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
SR007473
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0754400304
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/27/2006
Last updated
01/28/2010
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