Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 5901000892 | MI |
NPI | 1386684496 |
---|---|
Provider Name | Dr. Gary John Schurman |
First Address | Farmington Hills, MI 48331-2984 |
Second Address | Farmington Hills, MI 48331-2984 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 09/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0F36552 | BCBS (01) | |
1726672 | (05) | MI |
1879869 | (05) | MI |
4896350530 | BCBS (01) | |
T34116 | (02) | MI |