Individual
MARC A SHULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 UNIVERSITY BLVD, SUITE 1001, AMES, IA 50010
(515) 239-3410
(515) 817-1237
Mailing address
1215 DUFF AVENUE, AMES, IA 50010
(515) 239-3410
(515) 817-1237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30212
IA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
30212
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118752
—
IA
01
—
20185
BCBS
IA
Enumeration date
12/18/2006
Last updated
02/24/2021
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