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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