Individual
MR. CLIFFORD GEORGE SCHUMACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-6156
(302) 735-3845
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001122
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5-0001122
STATE LICENSE
DE
Enumeration date
06/15/2006
Last updated
09/01/2022
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