Individual provider · Type 1 NPI

Marylin Ruth Shuster, PA

Medical Physician Assistant · Southfield, MI

NPI number 1790766962 Active

Practice location

16001 W 9 Mile Rd, Dept Of Internal Medicine
Southfield, MI 48075-4818

Call (248) 849-3152 Map

Fax (248) 849-5378

Mailing address

25925 Telegraph Rd, 210
Southfield, MI 48034-2518

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601003898 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1790766962

Marylin Ruth Shuster, PA's National Provider Identifier is 1790766962, issued on Nov 7, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Southfield, MI. The record was last updated on Jul 8, 2007.