Healthcare Provider Details

I. General information

NPI: 1932213626
Provider Name (Legal Business Name): DAVID H SCHULMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 09/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 10TH AVE
PORT HURON MI
48060-3406
US

IV. Provider business mailing address

30075 GREENFIELD RD STE 100
SOUTHFIELD MI
48076-1523
US

V. Phone/Fax

Practice location:
  • Phone: 810-984-8470
  • Fax: 810-984-3919
Mailing address:
  • Phone: 248-290-2940
  • Fax: 248-290-2941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number5101009608
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: