Organization
MARVIN SHULMAN, MD, PC
Active
Organization
MARVIN SHULMAN, MD, PC
Active
Other names
The Senior Eye Site
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN SHULMAN MD (PRESIDENT/OWNER)
(586) 286-6600
Entity
Organization
Contact information
Practice address
16530 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1106
(586) 286-6600
(586) 286-3503
Mailing address
16530 19 MILE RD, CLINTON TOWNSHIP, MI 48038-1106
(586) 286-6600
(586) 286-3503
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MS033963
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180E06118
BCBS
MI
01
—
CH0415
RAILROAD MEDICARE
—
Enumeration date
06/14/2005
Last updated
12/15/2008
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