Provider Demographics
NPI:1346231214
Name:SHUMER, STEVEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:M
Last Name:SHUMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:26400 W 12 MILE RD
Mailing Address - Street 2:STE 150
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034
Mailing Address - Country:US
Mailing Address - Phone:248-353-0818
Mailing Address - Fax:248-353-6717
Practice Address - Street 1:26400 W 12 MILE RD
Practice Address - Street 2:STE 150
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034
Practice Address - Country:US
Practice Address - Phone:248-353-0818
Practice Address - Fax:248-353-6717
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301045570207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B49543Medicare UPIN
0716302492Medicare ID - Type Unspecified