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Individual

DAVID SHUMAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
461 W HURON ST STE 107, PONTIAC, MI 48341-1601
(248) 724-7600
Mailing address
1831 REVERE RD, WATERFORD, MI 48328-1419
(810) 569-5717

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4704326807
MI
363LF0000X
Family Nurse Practitioner
Primary
4704326807
MI

Other

Enumeration date
10/26/2020
Last updated
03/26/2026
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