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Individual

DR. MICHAEL EBEN SHULMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
117 N 1ST ST STE 113, ANN ARBOR, MI 48104-1354
(734) 623-0025
Mailing address
117 N 1ST ST STE 113, ANN ARBOR, MI 48104-1354
(734) 623-0025

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005836
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68-O-HI-4815-O
BLUE CROSS/BLUE SHIELD
MI
Enumeration date
10/11/2006
Last updated
12/21/2010
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