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Tyler Shumake
Student in an Organized Health Care Education/Training Program in Southgate, Michigan
NPI 1548770894

Tyler Shumake is a Student in an Organized Health Care Education/Training Program based in Southgate, MI. Tyler Shumake practices in Southgate, MI. The NPI Number for Tyler Shumake is 1548770894 and holds a License No. (Michigan).

The current practice location address for Tyler Shumake is 13130 Mercier St, Southgate, MI and can be reached out via phone at 734-301-5821 and via fax at 734-301-5821.

Location: 13130 Mercier St, Southgate, MI, 48195-1222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548770894
Provider Name
Tyler Shumake
Credential
Provider Entity Type
Individual
Gender
Male
Address
13130 Mercier St, Southgate, MI, 48195-1222
Phone Number
734-301-5821
Fax Number
734-301-5821
Provider Enumeration Date
10/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13130 Mercier St
City
Southgate
State
Michigan
Zip
48195-1222
Phone Number
734-301-5821
Fax Number
734-301-5821
person
Provider Business Mailing Address Details
Address
13130 Mercier St
City
Southgate
State
Michigan
Zip
48195-1222
Phone Number
734-301-5821
Fax Number
734-301-5821
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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