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Individual

DR. STEVEN MICHAEL SHULRUFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
BLDG 52, LAKE DR, MOUNTAIN HOME, TN 37684-0699
(423) 439-8000
(423) 439-2200
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-8000
(423) 439-2200

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43023
TN
2084P0804X
Child & Adolescent Psychiatry Physician
43023
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3714471
GROUP MEDICARE
TN
Enumeration date
09/21/2007
Last updated
11/08/2010
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