Individual
DR. MARVIN SHULMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PC
Contact information
Practice address
16530 19 MILE RD, CLINTON TWP, MI 48038-1106
(586) 286-6600
(586) 286-3503
Mailing address
16530 19 MILE RD, CLINTON TWP, MI 48038-1106
(586) 286-6600
(586) 286-3503
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MS 033963
MI
207W00000X
Ophthalmology Physician
MS033963
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180500207
BCBS OF MI
—
01
—
CH0415
RAILROAD MEDICARE
MI
Enumeration date
06/13/2005
Last updated
12/15/2008
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