Individual
MATTHEW JOHN SHULLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3001 NEWBERRY AVE, NEWBERRY, MI 49868-1340
(906) 293-6200
Mailing address
3001 NEWBERRY AVE, NEWBERRY, MI 49868-1340
(906) 293-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704277940
MI
Other
Enumeration date
02/04/2013
Last updated
05/14/2024
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