Organization
MARVIN SHULMAN MD PC
Active
Organization
MARVIN SHULMAN MD PC
Active
Other names
The Lens Site
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JAGER (BILLER)
(586) 286-5880
Entity
Organization
Contact information
Practice address
16530 19 MILE RD, CLINTON TWP, MI 48038
(586) 286-5880
(586) 412-5027
Mailing address
16530 19 MILE RD, CLINTON TWP, MI 48038
(586) 286-5880
(586) 412-5027
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MS033963
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540E006980
BCBS OF MI
—
01
—
CH0415
RAILROAD MEDICARE
—
Enumeration date
10/03/2006
Last updated
04/17/2014
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