Individual
BLAKE D SHUSTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
203 MILLS AVE, GREENVILLE, SC 29605-4019
(864) 271-1844
Mailing address
203 MILLS AVE, GREENVILLE, SC 29605-4019
(864) 271-1844
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
31566
SC
Other
Enumeration date
05/04/2007
Last updated
06/17/2011
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