Healthcare Provider Details

I. General information

NPI: 1437383023
Provider Name (Legal Business Name): JAMES RICHARD SHURLOW D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2009
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 W NORTH DOWN RIVER RD
GRAYLING MI
49738-2060
US

IV. Provider business mailing address

1010 W NORTH DOWN RIVER RD
GRAYLING MI
49738-2060
US

V. Phone/Fax

Practice location:
  • Phone: 989-348-0800
  • Fax: 989-731-7929
Mailing address:
  • Phone: 989-348-0800
  • Fax: 989-731-7929

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number5101018097
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: