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Individual

JEFFREY M SHULAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1101 W UNIVERSITY DR, RADIOLOGY DEPT, ROCHESTER, MI 48307-1863
(248) 652-5325
(248) 652-9731
Mailing address
1101 W UNIVERSITY DR, RADIOLOGY DEPT, ROCHESTER, MI 48307-1863
(248) 652-5325
(248) 652-9731

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
054026
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
F36447009
MI
Enumeration date
07/14/2006
Last updated
07/08/2007
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