Healthcare Provider Details

I. General information

NPI: 1174719041
Provider Name (Legal Business Name): DAVID H SCHULMAN DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2007
Last Update Date: 09/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13251 E 10 MILE RD STE 400
WARREN MI
48089-2076
US

IV. Provider business mailing address

13251 E 10 MILE RD STE 400
WARREN MI
48089-2076
US

V. Phone/Fax

Practice location:
  • Phone: 586-759-8555
  • Fax: 586-759-8557
Mailing address:
  • Phone: 586-759-8555
  • Fax: 586-759-8557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID H SCHULMAN
Title or Position: OWNER
Credential: DO
Phone: 586-759-8555