Individual
MIEKA PATRICE SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-1660
(814) 534-1680
Mailing address
2527 SANDHUTTON AVE, ROCKFORD, IL 61108-8064
(614) 707-6610
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036.153984
IL
Other
Enumeration date
06/18/2018
Last updated
04/14/2021
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