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Individual

JULIANA SCHUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
15855 19 MILE RD, EMERGENCY DEPT, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2601
(586) 263-2589
Mailing address
38935 ANN ARBOR RD, CREDENTIALING DEPT., LIVONIA, MI 48150-3397
(248) 237-3226
(866) 250-6385

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3621
SC
363A00000X
Physician Assistant
Primary
5601007043
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12730693
CAQH
MI
Enumeration date
07/23/2014
Last updated
07/05/2024
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