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Individual

KEITH W SCHUMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
302 BULIFANTS BLVD STE 101, WILLIAMSBURG, VA 23188-5738
(757) 564-1200
(757) 564-0034
Mailing address
302 BULIFANTS BLVD STE 101, WILLIAMSBURG, VA 23188-5738
(757) 564-1200
(757) 564-0034

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101226511
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
285595
ANTHEM BC/BS
VA
01
37187
OPTIMA PPO
VA
01
542014335
TRICARE STANDARD
VA
Enumeration date
08/04/2006
Last updated
01/21/2021
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