Individual
MR. MICHAEL FRANCIS SHULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA, MSA
Contact information
Practice address
5100 W TILGHMAN ST STE 315, ALLENTOWN, PA 18104-9166
(610) 395-4044
(610) 395-5693
Mailing address
PO BOX 783497, PHILADELPHIA, PA 19178-3497
(610) 395-4044
(610) 395-5693
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN232839L
PA
174400000X
Specialist
AANA#034631
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN232839L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50077442
CAPITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE
PA
Enumeration date
05/24/2006
Last updated
02/12/2020
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