Provider Demographics
NPI:1386684496
Name:SCHURMAN, GARY JOHN (DPM)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:JOHN
Last Name:SCHURMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28819 HIDDEN TRL
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-2984
Mailing Address - Country:US
Mailing Address - Phone:248-488-1106
Mailing Address - Fax:
Practice Address - Street 1:28819 HIDDEN TRL
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-2984
Practice Address - Country:US
Practice Address - Phone:248-488-1106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901000892213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1726672Medicaid
0F36552OtherBCBS
MI1879869Medicaid
4896350530OtherBCBS
4896350530OtherBCBS
0F36552OtherBCBS
MI1726672Medicaid