Individual
MARK SHUSTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2133 5TH STREET, BOULDER, CO 80302
(303) 478-4797
Mailing address
2133 5TH STREET, BOULDER, CO 80302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0023521
CO
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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