Individual
KARLIE RENAE SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4351050909
MI
Other
Enumeration date
10/20/2022
Last updated
04/20/2024
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