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Individual

DR. MICHAEL LEWIS SHUMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15 MELLEN ST, PORTLAND, ME 04101-2109
(207) 774-3835
(207) 774-2176
Mailing address
15 MELLEN ST, PORTLAND, ME 04101-2109
(207) 774-3835
(207) 774-2176

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 006809
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111200000
ME
Enumeration date
02/13/2006
Last updated
05/12/2009
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