Provider Demographics
NPI:1932213626
Name:SCHULMAN, DAVID H (DO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:30075 GREENFIELD RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1523
Mailing Address - Country:US
Mailing Address - Phone:248-290-2940
Mailing Address - Fax:248-290-2941
Practice Address - Street 1:1210 10TH AVE
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3406
Practice Address - Country:US
Practice Address - Phone:810-984-8470
Practice Address - Fax:810-984-3919
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2016-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI51010096082086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2975458Medicaid
F25105Medicare UPIN
MI0P14090Medicare PIN