MEDICARE: THOMAS A SHUSTER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	TS013669	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00002373	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	143615	OTHER	MI	GREAT LAKES HLTH PLAN
2	136403	OTHER	MI	PREFERRED CHOICE PPO
4	382237803053	OTHER	MI	COMMUNITY CHOICE
5	1008146	OTHER	MI	MCLAREN HLTH PLAN/ADVANTA
6	136403	OTHER	MI	CARE CHOICE HMO
7	0995443	OTHER	MI	HEALTHPLUS OF MICHIGAN
8	0252512045	OTHER	MI	BC/BS OF MICHIGAN
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	7013451	OTHER	MI	AETNA
11	H80577	OTHER	MI	HEALTH ALLIANCE PLAN

General Provider Information

NPI Number	:	1295705812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS A SHUSTER D.O.

Provider Business Mailing Address
First Line	:	600 HEALTH PARK BLVD
Second Line	:	STE G
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-2558
Country	:	US
Telephone Number	:	810-606-1660
Fax Number	:	810-606-1655

Provider Business Practice Location Address
First Line	:	600 HEALTH PARK BLVD
Second Line	:	STE G
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-2558
Country	:	US
Telephone Number	:	810-606-1660
Fax Number	:	810-606-1655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	09/05/2012

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Directions to “ THOMAS A SHUSTER D.O.” Practice Location

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