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Individual

DR. JEFFREY M SHUSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
42633 GARFIELD RD, SUITE 319, CLINTON TOWNSHIP, MI 48038-5033
(586) 263-0777
(586) 263-5457
Mailing address
42633 GARFIELD RD, SUITE 319, CLINTON TOWNSHIP, MI 48038-5033
(586) 263-0777
(586) 263-5457

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301043096
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157883
MI
Enumeration date
10/27/2005
Last updated
06/25/2010
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