Individual
THOMAS A SHUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 HEALTH PARK BLVD, STE G, GRAND BLANC, MI 48439-2558
(810) 606-1660
(810) 606-1655
Mailing address
600 HEALTH PARK BLVD, STE G, GRAND BLANC, MI 48439-2558
(810) 606-1660
(810) 606-1655
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
TS013669
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0252512045
BC/BS OF MICHIGAN
MI
01
—
0995443
HEALTHPLUS OF MICHIGAN
MI
01
—
1008146
MCLAREN HLTH PLAN/ADVANTA
MI
05
—
114495800
—
MI
01
—
136403
PREFERRED CHOICE PPO
MI
01
—
143615
GREAT LAKES HLTH PLAN
MI
01
—
382237803053
COMMUNITY CHOICE
MI
01
—
7013451
AETNA
MI
01
—
H80577
HEALTH ALLIANCE PLAN
MI
01
—
P00002373
RAILROAD MEDICARE
MI
Enumeration date
01/25/2006
Last updated
09/05/2012
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