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Individual

LARRY N SCHULZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4604
Mailing address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4604

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301030974
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0H26188
BCBS PROVIDER NUMBER
MI
01
0H26188005
FED BLACK LUNG PROGRAM
01
0Q26008
BCBS PROVIDER NUMBER
MI
01
0Q26008005
FED BLACK LUNG PROGRAM
01
1006439
MCLAREN HEALTH
MI
01
107162
GREAT LAKES HEALTH
MI
05
1366531
MI
01
136653110
PROCARE
MI
01
300008867
RR MEDICARE/PALMETTO GBA
Enumeration date
01/17/2006
Last updated
04/20/2008
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