Individual provider · Type 1 NPI

Tyler Shumake

Student in an Organized Health Care Education/Training Program · Southgate, MI

NPI number 1548770894 Active

Practice location

13130 Mercier St
Southgate, MI 48195-1222

Call (734) 301-5821 Map

Fax (734) 301-5821

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1548770894

Tyler Shumake's National Provider Identifier is 1548770894, issued on Oct 1, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southgate, MI. The record was last updated on Oct 1, 2017.