Individual
STANLEY SZUMIAK ROLAND
Active
Individual
STANLEY SZUMIAK ROLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
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