Individual
MARK A SHUNTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
499 W NORTON AVE, MUSKEGON HTS, MI 49444
(231) 733-2685
(231) 737-1236
Mailing address
499 W NORTON AVE, MUSKEGON HTS, MI 49444
(231) 733-2685
(231) 737-1236
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002766
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945105112
—
MI
01
—
MS002766
BCBSM
—
Enumeration date
08/31/2006
Last updated
01/05/2015
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