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Organization

GERIATRIC AND MEDICAL SPECIALISTS OF MICHIGAN P L C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDOLPH E. SCHUMACHER M.D. (PRESIDENT)
(810) 235-2599
Entity
Organization

Contact information

Practice address
2700 ROBERT T LONGWAY BLVD, STE #A, FLINT, MI 48503-2190
(810) 720-6700
(810) 743-1610
Mailing address
5155 NORKO DRIVE, FLINT, MI 48507-3021
(810) 720-6700
(810) 743-1610

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801035828
MI
1041C0700X
Clinical Social Worker
207R00000X
Internal Medicine Physician
4301405199
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
363L00000X
Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner

Other

Enumeration date
10/10/2006
Last updated
05/07/2009
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