Doctor Name: | MR. JUSTIN JON SCHUMACHER |
NPI Number: | 1013139351 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 800 S Washington Ave Saginaw, MI - 486012551 |
Business Phone Number: | 9899078027 |
Business Fax Number: | |
Mailing Address: | 1570 Horseshoe Cir, SAGINAW |
State: | MI |
Postal Code: | 486094219 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471N0900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Nuclear Medicine Technology |
Taxonomy Definition: |